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Search › Michigan › 133V00000X

Jack Tallman, RD

NPI 1609194190 · on the registry since 2010

Practice

Address
1200 N West Ave
Suite 300
Jackson, MI 49202
Phone
(517) 789-1234
Fax
(517) 784-7040
Organisation at this address
Integro,Llc
Integro Llc
Integro, Llc
Integro, Llc
Browns Prestige Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
358

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-05-10

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