Individual
TYLER GRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1928 45TH ST, MUNSTER, IN 46321-3917
(219) 476-7246
Mailing address
204 LEGACY PLZ W, LA PORTE, IN 46350-5285
(219) 476-7246
(219) 476-1713
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038.013292
IL
111N00000X
Chiropractor
Primary
08003084A
IN
Other
Enumeration date
12/20/2018
Last updated
02/13/2019
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