Individual
GENEVA BEATRICE TATEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2436
(313) 916-9102
Mailing address
2799 WEST GRAND BOULEVARD, HENRY FORD HEALTH SYSTEM, DETROIT, MI 48202
(313) 916-2436
(313) 916-9102
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301077683
MI
207RP1001X
Pulmonary Disease Physician
Primary
4301077683
MI
Other
Enumeration date
03/13/2007
Last updated
10/20/2023
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