Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Tracy J Tacket DO PLLC

Organization Family Medicine Physician · NPI 1992826366

Tracy J Tacket DO PLLC provides Family Medicine Physician services 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 Not confirmed with CMS for 16 years — call before visiting
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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