Individual
GARY E. TACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2530 1ST AVE N, ESCANABA, MI 49829-1390
(906) 786-2295
(906) 786-2816
Mailing address
2530 1ST AVE N, ESCANABA, MI 49829-1390
(906) 786-2295
(906) 786-2816
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003777
MI
Other
Enumeration date
05/16/2006
Last updated
01/07/2008
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