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1356301246
RENNARD B TUCKER
ROYAL OAK, MI
NPI
1356301246
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: MI 4301057577)
Enumeration Date
2006-03-24
Last Update Date
2007-07-08
Business Address
-- RENNARD B TUCKER M.D.
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6769
Phone number: 248-423-3144
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Mailing Address
-- RENNARD B TUCKER M.D.
3601 W 13 MILE RD 400 FSC - PCS
ROYAL OAK, MI 48073-6769
Phone number:
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