El Tal MD PC
El Tal MD PC provides MOHS-Micrographic Surgery Physician services in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2015.
- Licensed in
- MI
- In the registry since
- 2015
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
555 Midtowne St NE Ste 301Grand Rapids, MI 49503-5729 Not confirmed with CMS for 11 years — call before visiting
Phone: (616) 248-8864
Fax: (616) 248-8874
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| MOHS-Micrographic Surgery Physician (primary) | Taxonomy 207ND0101X · Licence 4301089516 (MI) |
|---|
Record details
| NPI number | 1003290750 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Abdel El Tal — President · (313) 312-9050 |
| NPI enumerated | July 13, 2015 |
| Last updated in NPPES | July 13, 2015 |
| Mailing address | 24330 Ann Arbor Trl, Dearborn Heights, MI 48127-1708 |
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