Provider Demographics
NPI:1215167739
Name:WEST, TAMMY L (MD)
Entity type:Individual
Prefix:DR
First Name:TAMMY
Middle Name:L
Last Name:WEST
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Gender:F
Credentials:MD
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Mailing Address - Street 1:46156 WOODWARD AVE # DOORA
Mailing Address - Street 2:
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48342-5033
Mailing Address - Country:US
Mailing Address - Phone:248-897-0900
Mailing Address - Fax:483-223-0712
Practice Address - Street 1:46156 WOODWARD AVE
Practice Address - Street 2:
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48342-5033
Practice Address - Country:US
Practice Address - Phone:248-897-0900
Practice Address - Fax:248-322-3071
Is Sole Proprietor?:No
Enumeration Date:2009-07-17
Last Update Date:2023-02-14
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Provider Licenses
StateLicense IDTaxonomies
MI4301094657207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine