Organization
GREAT LAKES EYE ASSOCIATES, PLC
Active
Organization
GREAT LAKES EYE ASSOCIATES, PLC
Active
Other names
ARTHUR J TATGE, D.O.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARTHUR J TATGE D.O. (OWNER)
(810) 667-6408
Entity
Organization
Contact information
Practice address
944 BALDWIN RD, SUITE H, LAPEER, MI 48446-3089
(810) 667-6408
(810) 667-6492
Mailing address
944 BALDWIN RD, SUITE H, LAPEER, MI 48446-3089
(810) 667-6408
(810) 667-6492
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
AT014727
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1852510715
BCBS
MI
05
—
4691258
—
MI
01
—
P32946F
BCN
MI
Enumeration date
04/02/2007
Last updated
01/07/2014
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