Dr Stanley Keith Tarter, MD is a
Preventive Medicine - Preventive Medicine/occupational Environmental Medicine physician based in South Lyon, Michigan. Dr Stanley Keith Tarter is licensed to practice in Michigan (license number 4301053478) and his current practice location is 10592 Lighthouse Pt, South Lyon, Michigan. He can be reached at his office (for appointments etc.) via phone at
(313) 791-4802.
NPI number for Dr Stanley Keith Tarter is 1366467185 and his current mailing address is 10592 Lighthouse Pt, South Lyon, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366467185.
Physician's Profile
Full Name | Dr Stanley Keith Tarter |
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Gender | Male |
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Speciality | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine |
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Location | 10592 Lighthouse Pt, South Lyon, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366467185
- Provider Enumeration Date: 07/13/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Stanley Keith Tarter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366467185 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 4301053478 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Stanley Keith Tarter is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Stanley Keith Tarter, MD 10592 Lighthouse Pt, South Lyon, MI 48178-9294 Ph: (313) 791-4802 | Dr Stanley Keith Tarter, MD 10592 Lighthouse Pt, South Lyon, MI 48178-9294 Ph: (313) 791-4802 |
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