CARLOS TAVERA

GRAND RAPIDS, MI
NPI1942277348
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MI  4301059687)
Enumeration Date2006-03-03
Last Update Date2021-03-03
Business Address
CARLOS TAVERA MD
25 MICHIGAN ST NE SUITE 2100
GRAND RAPIDS, MI 49503-2515
Phone number: 616-391-3777
Mailing Address
CARLOS TAVERA MD
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number: