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NPI Code Detail

MEDICARE: DR. JAMIE GEORGE TAWEEL D.O.

MEDICARE:  DR. JAMIE GEORGE TAWEEL  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician5101016530MI

General Provider Information

NPI Number : 1386775419
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMIE GEORGE TAWEEL D.O.
Provider Business Mailing Address
First Line : 55840 GRAND RIVER AVE STE 300
Second Line :
City : NEW HUDSON
State : MI
Zip : 48165-9717
Country : US
Telephone Number : 248-264-6169
Fax Number : 248-264-6208
Provider Business Practice Location Address
First Line : 55840 GRAND RIVER AVE STE 300
Second Line :
City : NEW HUDSON
State : MI
Zip : 48165-9717
Country : US
Telephone Number : 248-676-9060
Fax Number : 248-684-5550
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 01/30/2023

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Directions to “ DR. JAMIE GEORGE TAWEEL D.O.” Practice Location

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