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

DR. RALPH WILLIAM TACK, M.D., MPH

Active

DR. RALPH WILLIAM TACK, M.D., MPH is a Preventive Medicine healthcare provider located in FREMONT, Ohio. NPI 1578620621 is currently active in the NPPES registry. Verify at CMS.

Preventive Medicine · FREMONT, OH

Registration Details

NPI Number
1578620621
Provider Type
Individual
Gender
Male
NPI Issued
Jan 1, 2007 (19.621487294536 yrs)
Last Updated
Mar 1, 2010
Licenses
35048041 (OH)
35048041 (OH)

Practice Information

Address
715 S TAFT AVE
FREMONT, OH, 434203200
Browse OH providers · Browse ZIP 43420
Phone
4193332738
Fax
4193336416
Primary Specialty
Preventive Medicine
2083P0500X
Additional Specialty
Family Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.