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Douglas Tacket, D.O
NPI 1790764868 · on the registry since 2006
Practice
- Address
- 4077 S Cleveland Ave
Saint Joseph, MI 49085 - Phone
- (269) 429-2992
- Organisation at this address
- Frederick W. Born
Lakeland Medical PracticesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Additional practice sites
- 206 W Warren St, Middlebury, IN
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Also registered as
- Family Medicine Physician
- Licence states on file
- IN, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-22
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