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Individual

DR. MICHAEL TAWADROUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1720 W GILA LN, CHANDLER, AZ 85224
(480) 718-5986
(480) 436-6582
Mailing address
1237 S VAL VISTA DR, STE 117-118, MESA, AZ 85204-6401
(602) 406-4786
(916) 636-4358

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53748
AZ
207Q00000X
Family Medicine Physician
59910
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
256838
AZ
Enumeration date
04/06/2011
Last updated
10/12/2021
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