Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tracy J Tacket DO PLLC

Organization Family Medicine Physician · NPI 1992826366

Tracy J Tacket DO PLLC is a Family Medicine Physician in Niles, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

24 N Saint Joseph Ave Ste G
Niles, MI 49120-2263
Phone: (269) 684-5002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101017117 (MI)

Record details

NPI number1992826366
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Tacket — Owner · (269) 684-5002
NPI enumeratedApril 3, 2007
Last updated in NPPESMarch 15, 2010
Mailing address3061 Christy Way, Saginaw, MI 48603-2267

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