Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DOUGLAS GREGORY TACKET, D.O.
ActiveDR. DOUGLAS GREGORY TACKET, D.O. is a Family Medicine healthcare provider located in SAINT JOSEPH, Michigan. NPI 1790764868 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SAINT JOSEPH, MI
Registration Details
- NPI Number
- 1790764868
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 17, 2006 (20.552160436048 yrs)
- Last Updated
- Feb 22, 2024
- Licenses
-
02001246A (IN)5101012140 (MI)
Practice Information
- Address
-
4077 S CLEVELAND AVESAINT JOSEPH, MI, 490859513Browse MI providers · Browse ZIP 49085
- Phone
- 2694292992
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in SAINT JOSEPH, MI
| Name | Credential | NPI |
|---|---|---|
| JOHN M. STAFFORD | MD | 1730182247 |
| DR. FREDERICK WILLIAM BORN | D.O. | 1295735751 |
| LOREN BRADLEY HAMEL | M.D. | 1487634465 |
| DR. MATTHEW J CAMPBELL | M.D. | 1043284367 |
| DR. CHARLES RAY ALDERDICE | D.O. | 1821056649 |
| DR. KATHERINE SUZANNE HAYWARD | MD | 1457388423 |
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.