Individual
HEATHER MARIE TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
300 LAFAYETTE AVE SE STE 3000, GRAND RAPIDS, MI 49503-4692
(616) 685-6919
Mailing address
200 JEFFERSON AVE SE STE 305, GRAND RAPIDS, MI 49503-4502
(616) 685-4615
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5151015433
MI
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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