Department of Safety and Professional Services
Board of Medical Practice
Kenneth J Tack
Medical - Physician And Surgeon
License number
23656
Date granted
08/05/1977
Date expires
02/28/2015
Class
Medical - Physician And Surgeon
Status
Active
Address
5102 Canyon Oaks Drive, Brighton, MI 48114-7506
doctorsminnesota.org
ID 22317559
LAST UPDATED 2026-05-26 15:21:32 UTC
LAST UPDATED 2026-05-26 15:21:32 UTC
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