Individual
DR. DANIEL TIMOTHY TETZLAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD, JD
Contact information
Practice address
605 E 7TH AVE, SAULT SAINTE MARIE, MI 49783-3111
(906) 635-7270
Mailing address
605 E 7TH AVE, SAULT SAINTE MARIE, MI 49783-3111
(906) 635-7270
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301015059
MI
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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