Individual
MICHAEL JAMES TUCKER JR
Active
Individual
MICHAEL JAMES TUCKER JR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
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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