SHI-YU TAN

YPSILANTI, MI
NPI1205098654
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: MI  4301097627)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX  Bp1-0031849)
Enumeration Date2008-06-26
Last Update Date2016-07-14
Business Address
Dr. SHI-YU TAN MD
3150 PACKARD RD
YPSILANTI, MI 48197-1994
Phone number: 734-276-7096
Mailing Address
Dr. SHI-YU TAN MD
3889 MILL POND LN
ANN ARBOR, MI 48108-9413
Phone number: 734-276-7096