Individual
MICHAEL JAMES TUCKER JR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3105 MCCLELLAND BLVD, JOPLIN, MO 64804-1640
(417) 347-5400
(417) 347-5709
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-5400
(417) 347-5709
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2025004183
MO
207X00000X
Orthopaedic Surgery Physician
5101017371
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073703187
—
MI
Enumeration date
07/26/2007
Last updated
03/24/2025
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