Individual
MICHAEL J TULETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
281 ENTERPRISE CT, BLOOMFIELD HILLS, MI 48302-0309
(248) 322-5280
Mailing address
24200 SUMPTER RD, BELLEVILLE, MI 48111-9680
(734) 985-8955
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000293
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2601000293
STATE OF MICHIGAN LICENSE
MI
Enumeration date
03/22/2020
Last updated
03/22/2020
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