Individual
TYLER NELSON STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 LEFFINGWELL AVE NE, GRAND RAPIDS, MI 49525-6406
(616) 459-7101
Mailing address
1111 LEFFINGWELL AVE NE, GRAND RAPIDS, MI 49525-6406
(616) 459-7101
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4301107771
MI
207X00000X
Orthopaedic Surgery Physician
Primary
4301117211
MI
207X00000X
Orthopaedic Surgery Physician
5315070970
MI
Other
Enumeration date
06/04/2015
Last updated
07/27/2020
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