Individual
MR. TATE EGGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 983-8536
Mailing address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5101014953
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114747747
—
MI
Enumeration date
09/13/2005
Last updated
11/13/2023
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