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Dr. Shi-yu Tan, MD
Student in an Organized Health Care Education/Training Program in Ypsilanti, Michigan
NPI 1205098654

Shi-yu Tan is a Student in an Organized Health Care Education/Training Program based in Ann Arbor, MI. Shi-yu Tan practices in Ypsilanti, MI and has the professional credentials of MD. The NPI Number for Shi-yu Tan is 1205098654 and holds a License No. 4301097627 (Michigan).

The current practice location address for Shi-yu Tan is 3150 Packard Rd, Ypsilanti, MI and can be reached out via phone at 734-276-7096. You can also correspond with Shi-yu Tan through the mailing address at 3889 MILL POND LN, ANN ARBOR, MI - 48108-9413 (mailing address contact number: 734-276-7096).

Location: 3150 Packard Rd, Ypsilanti, MI, 48108-9413
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205098654
Provider Name
Shi-yu Tan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3150 Packard Rd, Ypsilanti, MI, 48108-9413
Phone Number
734-276-7096
Fax Number
Provider Enumeration Date
06/26/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3150 Packard Rd
City
Ypsilanti
State
Michigan
Zip
48197-1994
Phone Number
734-276-7096
Fax Number
person
Provider Business Mailing Address Details
Address
3150 Packard Rd
City
Ypsilanti
State
Michigan
Zip
48197-1994
Phone Number
734-276-7096
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
BP1-0031849 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
4301097627 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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