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1851654487
MATTHEW TANIS
GRAND RAPIDS, MI
NPI
1851654487
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MI 5101020029)
Enumeration Date
2012-06-19
Last Update Date
2014-10-10
Business Address
Dr. MATTHEW TANIS D.O.
80 68TH ST SE
GRAND RAPIDS, MI 49548-6980
Phone number: 616-486-5111
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Mailing Address
Dr. MATTHEW TANIS D.O.
100 MICHIGAN ST NE # MC-845
GRAND RAPIDS, MI 49503-2560
Phone number:
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