Jim Tavrazich

NPI 1609378082 · on the registry since 2018 · sole proprietor

Practice

Address: 22777 W 11 Mile Rd Fl Pt2
Southfield, MI 48033
Phone: (248) 386-5270
Organisation at this address: Hfhs Center For Autism And Developmental Disabilities
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-03-30

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