Individual
TYLER KOERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
10425 PANTHER PRIDE, DELTON, MI 49046-8825
(269) 623-1520
Mailing address
4014 TERNWOOD DR APT 1A, KALAMAZOO, MI 49048-6674
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
2601001854
MI
Other
Enumeration date
08/20/2017
Last updated
08/20/2017
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