Individual
MR. DEAN ERICK TAHTINEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2609 CHARLEVOIX AVE, PETOSKEY, MI 49770-8524
(231) 439-3750
(231) 439-5918
Mailing address
2609 CHARLEVOIX AVE, PETOSKEY, MI 49770-8524
(231) 439-3750
(231) 439-5918
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501004013
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4492137
—
MI
05
—
4492138
—
MI
Enumeration date
08/12/2005
Last updated
08/17/2017
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