CHARLES R TACKETT

BATTLE CREEK, MI
NPI1538275110
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601001124)
Enumeration Date2006-08-23
Last Update Date2007-07-08
Business Address
-- CHARLES R TACKETT PA
5500 ARMSTRONG RD
BATTLE CREEK, MI 49015-1014
Phone number: 269-966-5600
Mailing Address
-- CHARLES R TACKETT PA
8038 N 24TH ST
KALAMAZOO, MI 49004-8621
Phone number: 269-966-5600
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