Thomas J Takach, MD | |
1697 Liberty Ave, Cardiothoracic, Vascular, And Endovascular Surgery, Lincoln Park, MI 48146-3517 | |
(980) 322-3015 | |
Not Available |
Full Name | Thomas J Takach |
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Gender | Male |
Speciality | Surgery |
Location | 1697 Liberty Ave, Lincoln Park, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1245484690 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 4301402346 (Michigan) | Primary |
208600000X | Surgery | A51118 (California) | Secondary |
Mailing Address | Practice Location Address |
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Thomas J Takach, MD 6540 Bellows Ln # 110, Favrot Hall, Houston, TX 77030-2802 Ph: (980) 322-3015 | Thomas J Takach, MD 1697 Liberty Ave, Cardiothoracic, Vascular, And Endovascular Surgery, Lincoln Park, MI 48146-3517 Ph: (980) 322-3015 |