Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

El Tal MD PC

Organization MOHS-Micrographic Surgery Physician · NPI 1003290750

El Tal MD PC is an MOHS-Micrographic Surgery Physician 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.

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Practice location Address checks out

555 Midtowne St NE Ste 301
Grand Rapids, MI 49503-5729
Phone: (616) 248-8864
Fax: (616) 248-8874
Show map & directions

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 number1003290750
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Abdel El Tal — President · (313) 312-9050
NPI enumeratedJuly 13, 2015
Last updated in NPPESJuly 13, 2015
Mailing address24330 Ann Arbor Trl, Dearborn Heights, MI 48127-1708

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