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PERRY RAY TIERNAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
3074 US 31 S, TRAVERSE CITY, MI 49684-4533
(231) 929-1234
(231) 935-0984
Mailing address
3074 US 31 S, TRAVERSE CITY, MI 49684-4533
(231) 929-1234
(231) 935-0984

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601002628
MI

Other

Enumeration date
10/04/2005
Last updated
07/09/2007
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