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Individual

DYLAN TYLER PRICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPRC

Contact information

Practice address
1700 WATERMAN ST, DETROIT, MI 48209-2022
(313) 841-8900
Mailing address
31216 PARDO ST APT 5, GARDEN CITY, MI 48135-1868
(313) 203-6494

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MI

Other

Enumeration date
12/15/2021
Last updated
12/15/2021
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