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Mr. John Charles Taminski, PA-C
Medical Physician Assistant in Troy, Michigan
NPI 1619137403

John Charles Taminski is a Medical Physician Assistant based in Southfield, MI and is specialized in Medical. John Charles Taminski practices in Troy, MI and has the professional credentials of PA-C. The NPI Number for John Charles Taminski is 1619137403 and holds a License No. 5601005282 (Michigan).

The current practice location address for John Charles Taminski is 44201 Dequindre Rd Ste Ec, Troy, MI and can be reached out via phone at 248-964-5000.

Location: 44201 Dequindre Rd Ste Ec, Troy, MI, 48033-3849
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619137403
Provider Name
John Charles Taminski
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
44201 Dequindre Rd Ste Ec, Troy, MI, 48033-3849
Phone Number
248-964-5000
Fax Number
Provider Enumeration Date
06/15/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11958981 01 MI CAQH
institution
Provider Business Practice Location Address Details
Address
44201 Dequindre Rd Ste Ec
City
Troy
State
Michigan
Zip
48085-1117
Phone Number
248-964-5000
Fax Number
person
Provider Business Mailing Address Details
Address
44201 Dequindre Rd Ste Ec
City
Troy
State
Michigan
Zip
48085-1117
Phone Number
248-964-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
5601005282 (Michigan)
Definition
Definition to come...
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