Provider Demographics
NPI:1265403422
Name:TATGE, ARTHUR J (DO)
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:J
Last Name:TATGE
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Gender:M
Credentials:DO
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Mailing Address - Street 1:944 BALDWIN RD
Mailing Address - Street 2:SUITE H
Mailing Address - City:LAPEER
Mailing Address - State:MI
Mailing Address - Zip Code:48446-3089
Mailing Address - Country:US
Mailing Address - Phone:810-667-6408
Mailing Address - Fax:810-667-6492
Practice Address - Street 1:944 BALDWIN RD
Practice Address - Street 2:SUITE H
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446-3089
Practice Address - Country:US
Practice Address - Phone:810-667-6408
Practice Address - Fax:810-667-6492
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2014-01-07
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Provider Licenses
StateLicense IDTaxonomies
MIAT014727207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIY16777Medicare UPIN