OrganizationActive
El Tal MD PC
NPI 1003290750 · MOHS-Micrographic Surgery Physician · Grand Rapids, MI
Provider details
- NPI number
- 1003290750
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Abdel El Tal, President
- License
- 4301089516 (MI)
Practice location
555 Midtowne St Ne Ste 301
Grand Rapids, MI 49503-5729
Phone: (616) 248-8864
Fax: (616) 248-8874
Mailing address
24330 Ann Arbor Trl
Dearborn Heights, MI 48127-1708
Registry dates
- Enumerated
- 2015-07-13
- Last updated
- 2015-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.