Organization
TERRENCE W. TATARCHUK, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE TOMPKINS (OFFICE MANAGER)
(231) 775-1306
Entity
Organization
Contact information
Practice address
8795 PINE RIDGE DR, SUITE B, CADILLAC, MI 49601-9777
(231) 775-1306
(231) 775-9701
Mailing address
8795 PINE RIDGE DR, SUITE B, CADILLAC, MI 49601-9777
(231) 775-1306
(231) 775-9701
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301039879
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2093804
—
MI
Enumeration date
02/15/2008
Last updated
02/23/2010
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