MATTHEW TANIS

GRAND RAPIDS, MI
NPI1851654487
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MI  5101020029)
Enumeration Date2012-06-19
Last Update Date2014-10-10
Business Address
Dr. MATTHEW TANIS D.O.
80 68TH ST SE
GRAND RAPIDS, MI 49548-6980
Phone number: 616-486-5111
Mailing Address
Dr. MATTHEW TANIS D.O.
100 MICHIGAN ST NE # MC-845
GRAND RAPIDS, MI 49503-2560
Phone number: