Individual
DR. DAVID CHARLES TATTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3165 24TH AVE, JAMESTOWN, MI 49427-0230
(616) 896-8382
(616) 896-7669
Mailing address
3165 24TH AVE, P.O. BOX 230, JAMESTOWN, MI 49427-0230
(616) 896-8382
(616) 896-7669
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101007711
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2119606
—
MI
Enumeration date
05/25/2006
Last updated
10/12/2011
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