Kenneth James Tack, MD
NPI #1932985850 in South Lyon, Michigan
Provider Information
- NPI Number
- 1932985850
- Entity Type
- Individual
- Name
- Kenneth James Tack, MD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Internal Medicine - Infectious Disease
- Credential
- MD
- Enumeration Date
- Sep 6, 2023
- Last Updated
- Sep 6, 2023
Practice Location
- Address
- 10366 STONEY POINT DR
- City
- South Lyon
- State
- Michigan
- ZIP Code
- 48178-8053
- Phone
- (810) 355-8281
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Infectious Disease — Infectious Disease |
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