Douglas Gregory Tacket
ActiveMichigan license 5101012140
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5101012140
- Status
- Active
- First issued
- June 14, 1993
- Expires
- June 14, 2027
- License holder
- Douglas Gregory Tacket
- Entity type
- Individual
Classifications
- Osteopathic Physician Physicians & Surgeons
Contact
CH SW Medical Primary Care St Joseph
4077 S Cleveland Ave
St Joseph, MI 49085
4077 S Cleveland Ave
St Joseph, MI 49085
Berrien County