Provider Demographics
NPI:1922079995
Name:TUKEL, DAVID BRUCE (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:BRUCE
Last Name:TUKEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1922 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-2917
Mailing Address - Country:US
Mailing Address - Phone:313-274-7540
Mailing Address - Fax:313-274-7544
Practice Address - Street 1:1922 MONROE ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-2917
Practice Address - Country:US
Practice Address - Phone:313-274-7540
Practice Address - Fax:313-274-7544
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2020-07-30
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Provider Licenses
StateLicense IDTaxonomies
MI4301051121207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2751348Medicaid
MI2751348Medicaid
MIE85105Medicare UPIN
MI0390900001Medicare NSC