William L. Tucker, Dds, Plc

NPI 1013108554 - Clinic/Center - 261QD0000X

NPI Details
NPI 1013108554
Enumeration Date 08/08/2007
Last Updated 08/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WILLIAM LEWIS WILLIAM
Position MEMBER
Phone (586) 784-5944
Fax (586) 784-5644
Practice Location
22905 W MAIN ST
ARMADA MI, 48005-3225, US
Phone (586) 784-5944
Fax (586) 784-5644
Business Location
22905 W MAIN ST
PO BOX 905
ARMADA MI, 48005-3225, US
Phone (586) 784-5944
Fax (586) 784-5644
Toxanomy
Taxonomy Code 261QD0000X
License State Michigan
License Number 2901015113
Remove 1013108554 NPI Number
 

According to our database, William L. Tucker, Dds, Plc NPI is 1013108554, taxonomy code is 261QD0000X and license number is 2901015113, license state is located at Michigan. William L. Tucker, Dds, Plc physically located at 22905 W Main St, Armada MI, 48005-3225. NPI Number 1033115704 has the healthcare provider type.

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1013108554 NPI number is provided on an as is basis without warranty of any kind. 1013108554 is maintained by the National Plan & Provider Enumeration System. The contents of William L. Tucker, Dds, Plc are for informational purposes only.