DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DOUGLAS TACKET DO PLLC

Active Organization

DOUGLAS TACKET DO PLLC is a Family Medicine organization located in NILES, Michigan. NPI 1023145703 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · NILES, MI

Registration Details

NPI Number
1023145703
Provider Type
Organization
NPI Issued
Feb 28, 2007 (19.46317706207 yrs)
Last Updated
Mar 15, 2010
License
5101012140 (MI)

Practice Information

Address
24 N SAINT JOSEPH AVE
SUITE G
NILES, MI, 491202263
Browse MI providers · Browse ZIP 49120
Phone
2696845002
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Organizations in NILES, MI

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.