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Individual

DR. TYLER THOMAS BILDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, PHARMD

Contact information

Practice address
275 MICHIGAN ST NE FL 9, GRAND RAPIDS, MI 49503-2531
(616) 391-6243
Mailing address
275 MICHIGAN ST NE FL 9, GRAND RAPIDS, MI 49503-2531
(616) 391-6243
(616) 391-8612

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
0021483
CO
207X00000X
Orthopaedic Surgery Physician
Primary
4351048258
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1235188673
NPI
MI
Enumeration date
09/01/2016
Last updated
04/19/2025
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