Search › Michigan › 363LA2200X
Ace Tacderas, NP
NPI 1447544176 · on the registry since 2011
Practice
- Address
- 17700 23 Mile Rd
Macomb, MI 48044 - Phone
- (586) 868-9120
- Fax
- (586) 868-9136
- Organisation at this address
- Henry Ford Health St. John Hospital
Northern Macomb Surgical Center, Llc
St John Medical Center Macomb TownshipInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-11-12
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