Jack Ryan Tenglin

NPI #1083399828 in Livonia, Michigan

Provider Information

NPI Number: 1083399828
Entity Type: Individual
Name: Jack Ryan Tenglin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician/Technologist
Enumeration Date: Jun 20, 2023
Last Updated: Jun 20, 2023

Practice Location

Address: 13973 FARMINGTON RD
City: Livonia
State: Michigan
ZIP Code: 48154-5403
Phone: (734) 855-4490

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist	156F00000X	Primary

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