Provider Demographics
NPI:1952845620
Name:TAMER PSYCHIATRY
Entity Type:Organization
Organization Name:TAMER PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LUCIEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TAMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:269-281-3994
Mailing Address - Street 1:5710 SAINT JOSEPH AVE
Mailing Address - Street 2:
Mailing Address - City:STEVENSVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49127-1240
Mailing Address - Country:US
Mailing Address - Phone:269-281-3994
Mailing Address - Fax:
Practice Address - Street 1:5710 SAINT JOSEPH AVE
Practice Address - Street 2:
Practice Address - City:STEVENSVILLE
Practice Address - State:MI
Practice Address - Zip Code:49127-1240
Practice Address - Country:US
Practice Address - Phone:269-281-3994
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-14
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010977572084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty