Individual
TYLER HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
1401 PRESQUE ISLE AVE APT 111, MARQUETTE, MI 49855-2818
(480) 560-2089
Mailing address
2046 PRESQUE ISLE AVE APT 111, MARQUETTE, MI 49855-1932
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001368
MI
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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