Most Relevant Information
Provider Data
| NPI Number: | 1003015736 |
| Provider Name: | MAUREEN TAN PEDRES M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 4301090617 |
Most Important Dates
| Enumeration Date: | 07/12/2007 |
| Last Updated: | 11/06/2024 |
Provider Practice Location
100 MICHIGAN ST NE
SUITE A721
GRAND RAPIDS
MI
495032560
Practice Location Phone/Fax
| Phone: | 6163913139 |
| Fax: | 6163913044 |
Provider Mailing Location
100 MICHIGAN ST NE
MC 845
GRAND RAPIDS
MI
495032560
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Internist EMR