Individual
MICHAEL J TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 ARCH ST, STE. 506, AKRON, OH 44304-1429
(330) 375-3894
(330) 375-6680
Mailing address
168 E MARKET ST, PO BOX 3542, AKRON, OH 44308-2038
(330) 375-3894
(330) 375-6680
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
35-079157
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2478313
—
OH
01
—
4135104
MEDICARE ID
OH
Enumeration date
05/18/2006
Last updated
07/18/2013
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