Individual
TYLER DAVID GRESHOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(517) 364-1000
Mailing address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(517) 364-1000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704296889
MI
Other
Enumeration date
12/13/2019
Last updated
01/15/2020
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