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1457560161
JEFFREY CHRISTIAN FORMOSO TANG
DETROIT, MI
NPI
1457560161
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: MI 4301086199)
Enumeration Date
2007-05-21
Last Update Date
2015-12-08
Business Address
Dr. JEFFREY CHRISTIAN FORMOSO TANG MD
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-9100
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Mailing Address
Dr. JEFFREY CHRISTIAN FORMOSO TANG MD
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number:
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