Individual
TATE KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-0497
Mailing address
PO BOX 30516, DEPT#9516, LANSING, MI 48909
(231) 935-0497
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
5101022574
MI
2085R0202X
Diagnostic Radiology Physician
Primary
5101026113
MI
2085R0202X
Diagnostic Radiology Physician
5151010923
MI
Other
Enumeration date
06/21/2016
Last updated
06/07/2022
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