Individual
JOHN DAVID TEGTMEIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4660 S HAGADORN RD STE 520, EAST LANSING, MI 48823-6804
(517) 884-8701
(517) 884-8787
Mailing address
804 SERVICE RD # A109F, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928
Taxonomy
Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
5101019499
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285922625
—
MI
Enumeration date
07/19/2011
Last updated
04/04/2018
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