Individual
TYLER OGRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14317 ELM ST, PLYMOUTH, MI 48170-2367
(517) 375-1425
Mailing address
14317 ELM ST, PLYMOUTH, MI 48170-2367
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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