NPI 1275941791

Tong Gan, MD

Practitioner Colon & Rectal Surgery Physician Grand Rapids, MI

Practice location

Address: 4100 Lake Dr SE STE 205, Grand Rapids, MI 49546-8292
Phone: (616) 267-7100
Mailing address: 100 Michigan St NE # Mc845, Grand Rapids, MI 49503-2560

Registered specialties

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence 4301507236 (MI)

Other Colon & Rectal Surgery providers in Michigan →

Registry record

NPI: 1275941791
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jul 2014
Record last updated: 10 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.