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TACTICAL MEDICAL PROVIDERS
NPI 1801152590
Clinic/Center - Multi-Specialty in Novi, MI

Active since April 06, 2012
44471 MIDWAY DR, NOVI, MI 48375(248) 773-8923 Get Directions Write a Review

NPPES record last updated: March 30, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tactical Medical Providers NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TACTICAL MEDICAL PROVIDERS (NPI 1801152590) is a healthcare organization registered as a multi-specialty in Novi, Michigan and active in the NPI registry since April 2012. The organization lists Glenn Cipullo, President, as its authorized official.

NPPES Registry Identity

NPI1801152590
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameTACTICAL MEDICAL PROVIDERS
Location Address44471 MIDWAY DRNovi, MI 48375-3949
Mailing Address44471 Midway DrNovi, MI 48375-3949
Phone(248) 773-8923
Organization SubpartNo
Authorized OfficialGlenn CipulloPresident · (248) 773-8923
Enumeration DateApril 6, 2012
Last NPPES UpdateMarch 30, 2014
✔ NPI 1801152590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in MI · 4301078278
44471 MIDWAY DR, Novi, MI 48375
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tactical Medical Providers's NPI number?

The NPI number for Tactical Medical Providers is 1801152590. It was assigned to this organization in the NPPES registry on April 6, 2012.

Where is Tactical Medical Providers located?

Tactical Medical Providers is located at 44471 Midway Dr, Novi, MI 48375. The listed phone number is (248) 773-8923.

What is Tactical Medical Providers's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Tactical Medical Providers was last updated on March 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.