Search › Michigan › 104100000X

Taquavius Humphries

NPI 1326999335 · on the registry since 2026

Practice

Address
3124 Derby Ln
Swartz Creek, MI 48473
Phone
(810) 624-6068

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-02-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan