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EL TAL MD PC
NPI 1003290750
Dermatology - MOHS-Micrographic Surgery in Grand Rapids, MI

Active since July 13, 2015
555 MIDTOWNE ST NE STE 301, GRAND RAPIDS, MI 49503(616) 248-8864(616) 248-8874 Get Directions Write a Review

NPPES record last updated: July 13, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About El Tal Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EL TAL MD PC (NPI 1003290750) is a healthcare organization registered as a mohs-micrographic surgery in Grand Rapids, Michigan and active in the NPI registry since July 2015. The organization lists Abdel K El Tal, President, as its authorized official.

NPPES Registry Identity

NPI1003290750
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameEL TAL MD PC
Location Address555 MIDTOWNE ST NE STE 301Grand Rapids, MI 49503-5729
Mailing Address24330 Ann Arbor TrlDearborn Heights, MI 48127-1708 · (313) 312-9050
Phone(616) 248-8864
Fax(616) 248-8874
Organization SubpartNo
Authorized OfficialAbdel K El TalPresident · (313) 312-9050
Enumeration DateJuly 13, 2015
✔ NPI 1003290750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in MI · 4301089516
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
555 MIDTOWNE ST NE STE 301, Grand Rapids, MI 49503
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEEANN MARIE KUEHN PA-C, MPH
Physician Assistant
555 MIDTOWNE ST NE STE 301
GRAND RAPIDS, MI 49503
Kent County (616) 248-8864

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is El Tal MD PC's NPI number?

The NPI number for El Tal MD PC is 1003290750. It was assigned to this organization in the NPPES registry on July 13, 2015.

Where is El Tal MD PC located?

El Tal MD PC is located at 555 Midtowne St NE Ste 301, Grand Rapids, MI 49503. The listed phone number is (616) 248-8864.

What is El Tal MD PC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

When was this NPI record last updated?

The NPPES record for El Tal MD PC was last updated on July 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.