Individual
BESSIE TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12800 E WARREN AVE, DETROIT, MI 48215-2061
(313) 824-8000
Mailing address
2900 CONNER ST BLDG A, DETROIT, MI 48215-2407
(313) 308-1400
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
T460085352007
MI
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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