Diedre Tyler

NPI #1033569157 in Saginaw, Michigan

Provider Information

NPI Number: 1033569157
Entity Type: Individual
Name: Diedre Tyler
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jun 20, 2016
Last Updated: Jun 20, 2016

Practice Location

Address: 1403 CASS ST
City: Saginaw
State: Michigan
ZIP Code: 48602-2535
Phone: (989) 714-6013

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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