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Organization
TYRA S MCKINNEY MD,PLLC
Active
Organization
TYRA S MCKINNEY MD,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYRA S MCKINNEY MD (OWNER/PHYSICIAN)
(248) 968-4470
Entity
Organization
Contact information
Practice address
23350 GREENFIELD RD, SUITE 200, OAK PARK, MI 48237-2496
(248) 968-4470
(248) 968-4471
Mailing address
PO BOX 25, BLOOMFIELD HILLS, MI 48303-0025
(248) 968-4470
(248) 968-4471
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301074809
MI
Other
Enumeration date
06/16/2006
Last updated
08/22/2020
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