Provider Demographics
NPI:1386775419
Name:TAWEEL, JAMIE GEORGE (DO)
Entity type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:GEORGE
Last Name:TAWEEL
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:55840 GRAND RIVER AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:NEW HUDSON
Mailing Address - State:MI
Mailing Address - Zip Code:48165-9717
Mailing Address - Country:US
Mailing Address - Phone:248-264-6169
Mailing Address - Fax:248-264-6208
Practice Address - Street 1:55840 GRAND RIVER AVE STE 300
Practice Address - Street 2:
Practice Address - City:NEW HUDSON
Practice Address - State:MI
Practice Address - Zip Code:48165-9717
Practice Address - Country:US
Practice Address - Phone:248-676-9060
Practice Address - Fax:248-684-5550
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2023-01-30
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Provider Licenses
StateLicense IDTaxonomies
MI5101016530207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine