IndividualActive
Stanley Tarter, M.D.
NPI 1366467185 · Preventive Medicine/Occupational Environmental Medicine Physician · South Lyon, MI
Provider details
- NPI number
- 1366467185
- Entity type
- Individual
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4301053478 (MI)
Specialties & taxonomies
- Preventive Medicine/Occupational Environmental Medicine PhysicianPrimary2083P0500XLicense 4301053478 (MI)
Allopathic & Osteopathic Physicians
Practice location
10592 Lighthouse PT
South Lyon, MI 48178-9294
Phone: (313) 791-4802
Approximate (ZIP-level) locationGet directions
Mailing address
10592 Lighthouse PT
South Lyon, MI 48178-9294
Registry dates
- Enumerated
- 2006-07-13
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.