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1265849541
JOSE MARIANO TIU TAN
GRAND RAPIDS, MI
NPI
1265849541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: MI 4301112762)
Enumeration Date
2014-07-17
Last Update Date
2022-07-21
Business Address
Dr. JOSE MARIANO TIU TAN MD-MBA
2900 BRADFORD ST NE
GRAND RAPIDS, MI 49525-6427
Phone number: 616-885-5000
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Mailing Address
Dr. JOSE MARIANO TIU TAN MD-MBA
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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