Individual
DR. TYANNE LEE DOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.S.
Contact information
Practice address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2736
(906) 225-3895
(906) 225-4562
Mailing address
26374 NETWORK PL, CHICAGO, IL 60673-1263
(906) 225-3895
(906) 225-4562
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
43423
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043473655
—
MI
05
—
7100133350
—
KY
Enumeration date
07/03/2008
Last updated
05/13/2014
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