Gary Dwayne Tegge

NPI #1871941880 in Saint Louis, Michigan

Provider Information

NPI Number: 1871941880
Entity Type: Individual
Name: Gary Dwayne Tegge
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: May 31, 2016
Last Updated: May 31, 2016

Practice Location

Address: 616 MAPLE ST
City: Saint Louis
State: Michigan
ZIP Code: 48880-1335
Phone: (989) 817-6234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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