Individual provider · Type 1 NPI

Shiloh Tackett

Pulmonary Disease Physician · Traverse City, MI

NPI number 1336567643 Active

Practice location

5087 N Royal Dr
Traverse City, MI 49684-6987

Fax (231) 935-0445

Mailing address

550 Munson Ave
Traverse City, MI 49686-3580

Other practice locations

  • 2799 West Grand Blvd., Detroit, MI 48202-2600 · (313) 916-2600
  • 1105 Sixth St, Traverse City, MI 49684-2345 · (231) 935-0440

Specialties and licenses

TaxonomyCodeLicense
Pulmonary Disease Physician Primary 207RP1001X4301502100 (MI)
Critical Care Medicine (Internal Medicine) Physician 207RC0200X4301502100 (MI)

Pulmonary Disease Physician: An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

7 other providers at this address

Other pulmonary disease physician providers in Traverse City

See all in Traverse City →

About NPI 1336567643

Shiloh Tackett's National Provider Identifier is 1336567643, issued on Apr 3, 2014. The primary taxonomy on file is Pulmonary Disease Physician (207RP1001X), and the practice location is in Traverse City, MI. The record was last updated on Apr 7, 2026.