Individual
TYLER MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4949 COOLIDGE ROAD, ROYAL OAK, MI 48073
(313) 732-2208
Mailing address
607 SHELBY ST STE 700, DETROIT, MI 48226-3282
(313) 732-2208
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
N23103560
MI
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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