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Individual

TYLER KUPCHICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O

Contact information

Practice address
1201 E MICHIGAN AVE STE 300, JACKSON, MI 49201-1853
(517) 205-1431
Mailing address
1201 E MICHIGAN AVE STE 300, JACKSON, MI 49201-1853
(517) 205-1431

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101025550
MI

Other

Enumeration date
04/17/2017
Last updated
02/21/2024
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