John Tanja, OTR

NPI 1235632704 · on the registry since 2018

Practice

Address: 3350 Broadmoor Avenue Se
Grand Rapids, MI 49512
Phone: (616) 391-7792
Fax: (616) 391-7799
Organisation at this address: Spectrum Health Hospitals
Spectrum Health Primary Care Partners
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 225X00000X
225X00000X
Also registered as: 225X00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-03-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan