Organization
MICHAEL W TAWNEY DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TAWNEY DO (OWNER)
(586) 493-8197
Entity
Organization
Contact information
Practice address
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043-2920
(586) 493-8000
Mailing address
PO BOX 8836, GRAND RAPIDS, MI 49518-8836
(866) 898-7139
(616) 975-9824
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0155031135
BCBS
—
Enumeration date
03/14/2007
Last updated
09/30/2008
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