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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

MAUREEN U TAN PEDRES, MD
100 MICHIGAN ST NE
SUITE A721
GRAND RAPIDS, MI49503-2560
 Phone: 616-391-3139
 Fax: 616-391-3044
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MAUREEN U TAN PEDRES · (Female)

NPI # 1003015736
Status Active
Credentials MD
Entity Individual
Enumeration date 07/12/2007
Last updated 02/03/2011 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301090617
Hospital affiliation(s)
  • SPECTRUM HEALTH - BUTTERWORTH CAMPUS - (Acute Care)
    100 MICHIGAN ST NE
    GRAND RAPIDS, MI 49503
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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