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

Dr. Daniel E Tackabury, MD

Individual provider Family Medicine Physician · NPI 1104807973

Dr. Daniel E Tackabury, MD is a Family Practice in North Branch, Michigan. Graduated from Wayne State University School of Medicine in 1997, 29 years ago. Practices with McLaren Lapeer Region, a 36-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
29
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3789 Huron St
North Branch, MI 48461-8117
Phone: (810) 688-3093
Fax: (810) 688-3964
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301070116 (MI)

Record details

NPI number1104807973
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 9, 2005
Last updated in NPPESJuly 13, 2026
Mailing address401 S Ballenger Hwy, Flint, MI 48532-3638

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice McLaren Lapeer Region — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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