El Tal MD PC
NPI #1003290750 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1003290750
- Entity Type
- Organization
- Organization Name
- El Tal MD PC
- Primary Specialty
- Dermatology - MOHS-Micrographic Surgery
- Enumeration Date
- Jul 13, 2015
- Last Updated
- Jul 13, 2015
Practice Location
- Address
- 555 MIDTOWNE ST NE STE 301
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49503-5729
- Phone
- (616) 248-8864
Authorized Official
- Name
- DR. ABDEL K EL TAL, MD
- Title
- PRESIDENT
- Phone
- (313) 312-9050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery |
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