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NPI 1265666960

IndividualActive

John Tazelaar, M.D.

NPI 1265666960 · Molecular Genetic Pathology (Pathology) Physician · Royal Oak, MI

Provider details

NPI number: 1265666960
Entity type: Individual
Primary specialty: Molecular Genetic Pathology (Pathology) PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: No
License: MD418559 (PA)

Specialties & taxonomies

Molecular Genetic Pathology (Pathology) PhysicianPrimary207ZP0007XLicense MD418559 (PA)
Allopathic & Osteopathic Physicians

Practice location

3601 W 13 Mile Rd

Royal Oak, MI 48073-6712

Phone: (713) 338-1994

Approximate (ZIP-level) locationGet directions

More MI providers

Mailing address

3601 W 13 Mile Rd

Royal Oak, MI 48073-6712

Additional practice locations (1)

2515 Liberty Ave
Pittsburgh, PA 15222-4613
Phone: (412) 224-6897

Registry dates

Enumerated: 2009-05-08
Last updated: 2021-06-30
Certified: 2021-06-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

John Tazelaar, M.D. — NPI 1265666960, Royal Oak, MI | NPI Central