Organization
CHRISTOPHER D. TYKOCKI D.O. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER D TYKOCKI D.O. (PRESIDENT)
(810) 694-2720
Entity
Organization
Contact information
Practice address
8245 HOLLY RD STE 103, GRAND BLANC, MI 48439-2443
(810) 694-2720
(810) 953-4473
Mailing address
8245 HOLLY RD STE 103, GRAND BLANC, MI 48439-2443
(810) 694-2720
(810) 953-4473
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
CT012113
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0980879
HEALTH PLUS OF MICHIGAN
MI
01
—
1652501375
BCBSM
MI
05
—
4228726
—
MI
01
—
5404569
AETNA
MI
Enumeration date
04/22/2008
Last updated
04/22/2008
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