Dr. Martin J Tuck
Endodontist
2501 Coolidge Rd Suite 201
East Lansing
, Michigan 48823-6352
Dr. Martin J Tuck
Endodontist
2501 Coolidge Rd Suite 201
East Lansing
, Michigan 48823-6352
(517) 351-3399
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. Martin J Tuck
- 2501 Coolidge Rd Suite 201
- East Lansing, MI
- Zip : 48823-6352
- Fax : (517) 351-3399
- Phone : (517) 351-0800
Second Address
- Dr. Martin J Tuck
- 2501 Coolidge Rd Suite 201
- East Lansing, MI
- Zip : 48823-6352
- Fax : (517) 351-3399
- Phone : (517) 351-0800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 2901011641 | MI |
National Provider Identifier
| NPI | 1033239744 |
|---|---|
| Provider Name | Dr. Martin J Tuck |
| First Address | East Lansing, MI 48823-6352 |
| Second Address | East Lansing, MI 48823-6352 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/03/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1953310700 | BCBS MEDICAL PIN # (01) | MI |
| 2901011641 | LICENSE # (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.