Individual
KATHERINE TYRRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
58144 GRATIOT AVE, NEW HAVEN, MI 48048
(810) 794-4982
(810) 794-4407
Mailing address
555 SAINT CLAIR RIVER DR, ALGONAC, MI 48001-1802
(810) 794-4982
(810) 794-4407
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
988928
MI
Other
Enumeration date
05/02/2008
Last updated
05/02/2008
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