DOUGLAS TACKET DO PLLC

NILES, MI
NPI1023145703
Entity TypeOrganization
Authorized ContactDOUGLAS TACKET
Owner
269-684-5002
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  5101012140)
Enumeration Date2007-02-28
Last Update Date2010-03-15
Business Address
DOUGLAS TACKET DO PLLC
24 N SAINT JOSEPH AVE SUITE G
NILES, MI 49120-2263
Phone number: 269-684-5002
Mailing Address
DOUGLAS TACKET DO PLLC
3061 CHRISTY WAY
SAGINAW, MI 48603-2267
Phone number: 989-791-2455
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