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Tammy L Thelen

  • Female

Medical Specialty

Professional ID

  • NPI: 1902927007
  • PECOS ID: 9537266812
  • Enrollment ID: I20070522000048
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 2007

Medical Practices

  • Organization Name: Ent Consultants Plc
  • Group Practice ID assigned by PECOS: 6709819337
  • Number of Group Practice member: 4

Location

  • Address1: 4880 Cascade Rd Se
  • Address2:
  • City: Grand Rapids
  • State: Michigan
  • Zip Code: 49546
  • Phone Number: (616)954-9300

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):