Philip W Tate, MD
Internal Medicine, Endocrinology, Diabetes & Metabolism in Zeeland, MI. Individual provider (NPI-1).
NPI number1528083045
StatusActive
Last updated in NPPESAug 6, 2012
Details
- NPI
- 1528083045
- Entity type
- Individual (NPI-1)
- Name
- Philip W Tate
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2006
- Last updated
- Aug 6, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RE0101X | Internal Medicine, Endocrinology, Diabetes & Metabolism | 4301046008 | MI | Yes |
Practice location
8333 Felch StSuite 200
Zeeland, MI 49464-2608
Phone 616-772-4846 · Fax 616-748-2855
Mailing address
100 Michigan St NeMc 845
Grand Rapids, MI 49503-2560
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