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Organization

IAN LYTLE MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IAN FRAZIER LYTLE MD (PHYSICIAN/OWNER)
(313) 399-9775
Entity
Organization

Contact information

Practice address
18181 OAKWOOD BLVD, SUITE 200, DEARBORN, MI 48124-5032
(313) 399-9775
Mailing address
18181 OAKWOOD BLVD, SUITE 200, DEARBORN, MI 48124-5032

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4301088089
MI

Other

Enumeration date
08/07/2015
Last updated
09/18/2015
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