Individual
TYRON WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
200 ORLEANS BLVD, COLDWATER, MI 49036-1767
(517) 278-2129
(517) 279-8172
Mailing address
200 ORLEANS BLVD, COLDWATER, MI 49036-1767
(517) 278-2129
(517) 279-8172
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704196552
MI
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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