Individual
MICHAEL LEE SYLTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LNHA
Contact information
Practice address
3306 ROLLING HILLS DR, EAGAN, MN 55121-2345
(507) 828-3869
Mailing address
PO BOX 21884, EAGAN, MN 55121-0884
(507) 828-3869
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
3954
MN
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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