| Jaime F Tan Md Pllc | |
|
2235 S Lakeshore Rd Harbor Beach MI 48441-8910 | |
| (989) 479-2143 | |
| Not Available |
| Full Name | Jaime F Tan Md Pllc |
|---|---|
| Speciality | General Practice |
| Location | 2235 S Lakeshore Rd, Harbor Beach, Michigan |
| Authorized Official Name and Position | Jaime F Tan (OWNER) |
| Authorized Official Contact | 9894792143 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaime F Tan Md Pllc 2235 S Lakeshore Rd Harbor Beach MI 48441-8910 Ph: (989) 479-2143 | Jaime F Tan Md Pllc 2235 S Lakeshore Rd Harbor Beach MI 48441-8910 Ph: (989) 479-2143 |
| NPI Number | 1255008587 |
|---|---|
| Provider Enumeration Date | 08/25/2021 |
| Last Update Date | 08/25/2021 |
| Medicare PECOS PAC ID | 1456749068 |
|---|---|
| Medicare Enrollment ID | O20211102000533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255008587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Jaime F Tan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346235207 PECOS PAC ID: 9335210756 Enrollment ID: I20080612000418 |
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