Individual
DR. STANLEY KEITH TARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10592 LIGHTHOUSE PT, SOUTH LYON, MI 48178-9294
(313) 791-4802
Mailing address
10592 LIGHTHOUSE PT, SOUTH LYON, MI 48178-9294
(313) 791-4802
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
4301053478
MI
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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