Individual provider · Type 1 NPI

Tammy Lynn Provatas, MD

Emergency Medicine Physician · Grand Rapids, MI

NPI number 1275795239 Active

Practice location

100 Michigan St NE # MC-49
Grand Rapids, MI 49503-2560

Call (616) 391-8879 Map

Mailing address

1699 Sycamore Dr
Muskegon, MI 49445-3400

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician Primary 207P00000X4301092916 (MI)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1275795239

Tammy Lynn Provatas, MD's National Provider Identifier is 1275795239, issued on Jun 30, 2008. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 30, 2008.