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Individual

MICHAEL G TANNENBAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
4059 STONE SCHOOL RD, ANN ARBOR, MI 48108-9723
(734) 929-0444
(734) 929-0350
Mailing address
4059 STONE SCHOOL RD, ANN ARBOR, MI 48108-9723
(734) 929-0444
(734) 929-0350

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008615
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4755140
MI
01
NC011916
M-CARE
MI
Enumeration date
02/06/2007
Last updated
04/16/2008
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