Individual
DAVID JOHN TYBURSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3225 US 41 W, MARQUETTE, MI 49855-9495
(906) 226-5015
Mailing address
711 W KAYE AVE, MARQUETTE, MI 49855-2728
(906) 361-0379
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302029037
MI
Other
Enumeration date
10/31/2020
Last updated
10/31/2020
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