Individual
DR. HADAR A TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5301 MCAULEY DR, YPSILANTI, MI 48197-1051
(734) 712-3456
Mailing address
2000 GREEN RD, SUITE 300, ANN ARBOR, MI 48105-1598
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
057855
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3436107
—
MI
01
—
HT057855
BLUE CROSS BLUE SHIELD
MI
Enumeration date
05/23/2006
Last updated
12/20/2021
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