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Search › Michigan › 133V00000X

Brent Tabata, MS, RD

NPI 1922702638 · on the registry since 2023

Practice

Address
360 Lafayette Ave Se Ste 400
Grand Rapids, MI 49503
Phone
(616) 486-6870
Fax
(616) 454-6898
Organisation at this address
Spectrum Health Primary Care Partners
Spectrum Health Primary Care Partners
Mary Free Bed Orthotics And Prosthetics
Mary Free Bed Orthotics And Prosthetics
Mary Free Bed Orthotics And Prosthetics
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

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
2023-06-05

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