DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MR. ANDREW JOHN TAIT PA-C

MEDICARE: MR. ANDREW JOHN TAIT PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant5601002513MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
112D87TAOTHERMNBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
35601002513OTHERMIPHYSICIAN ASSISTANT LICEN
41034124OTHERPREFERREDONE

General Provider Information

NPI Number : 1689677353
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANDREW JOHN TAIT PA-C
Provider Business Mailing Address
First Line : N10565 GRANDVIEW LN
Second Line :
City : IRONWOOD
State : MI
Zip : 49938-9622
Country : US
Telephone Number : 906-932-1500
Fax Number : 906-932-5630
Provider Business Practice Location Address
First Line : N10565 GRANDVIEW LN
Second Line :
City : IRONWOOD
State : MI
Zip : 49938-9622
Country : US
Telephone Number : 906-932-1500
Fax Number : 906-932-5630
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 07/08/2007

Similar Medicare Providers

1043218324 — CHRISTOPHER J POGLIANO MD
Practice Location Address:
N10565 GRANDVIEW LN
IRONWOOD, MI
49938-9622
Practice Phone: 906-932-1500
Practice Fax: 906-932-5091
1619975869 — DAVID S WOOD DPM
Practice Location Address:
N10565 GRANDVIEW LN
IRONWOOD, MI
49938-9622
Practice Phone: 906-932-1500
Practice Fax: 906-932-5630
1912905159 — FRANKLIN A VILLANUEVA MD
Practice Location Address:
N10565 GRANDVIEW LN
IRONWOOD, MI
49938-9622
Practice Phone: 906-932-1500
Practice Fax: 906-932-5630
1891793733 — JAMES E HUBBARD MD
Practice Location Address:
N10565 GRANDVIEW LN
IRONWOOD, MI
49938-9622
Practice Phone: 906-932-1500
Practice Fax: 906-932-5630
1992704753 — ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC.
Practice Location Address:
N10565 GRANDVIEW LN
IRONWOOD, MI
49938-9622
Practice Phone: 906-932-1500
Practice Fax: 906-932-5630
1982602751 — TERRY L. STEEGE NP
Practice Location Address:
N10565 GRANDVIEW LANE
IRONWOOD, MI
49938-9622
Practice Phone: 906-932-1500
Practice Fax: 906-932-5091

Directions to “ MR. ANDREW JOHN TAIT PA-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.