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Individual

LAAMY NASSARA TIADJERI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
330 BARCLAY AVE NE, SUITE 304, GRAND RAPIDS, MI 49503-2556
(616) 391-1929
Mailing address
330 BARCLAY AVE NE, SUITE 304, GRAND RAPIDS, MI 49503-2556

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301096535
MI

Other

Enumeration date
07/16/2010
Last updated
07/16/2010
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