Individual
MR. HOWARD V. TYREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4075 COPPER RIDGE DR, TRAVERSE CITY, MI 49684-7059
(231) 946-8970
(231) 932-4118
Mailing address
4075 COPPER RIDGE DR, TRAVERSE CITY, MI 49684-7059
(231) 946-8970
(231) 932-4118
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5601003680
MI
363A00000X
Physician Assistant
Primary
5601003680
MI
Other
Enumeration date
05/11/2009
Last updated
06/29/2009
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