Olivia Grayce Tack, M.D.

NPI #1255371514 in Granger, Indiana

Provider Information

NPI Number: 1255371514
Entity Type: Individual
Name: Olivia Grayce Tack, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Jun 7, 2006
Last Updated: Nov 24, 2025

Practice Location

Address: 6913 N MAIN ST STE 200
City: Granger
State: Indiana
ZIP Code: 46530-8039
Phone: (574) 647-4540

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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