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Individual

ROBERT TYLER PRINCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, CGC

Contact information

Practice address
44555 WOODWARD AVE STE 404, PONTIAC, MI 48341-5036
(947) 232-7112
(248) 858-3648
Mailing address
44555 WOODWARD AVE STE 404, PONTIAC, MI 48341-5036
(947) 232-7112
(248) 858-3648

Taxonomy

Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
7201000255
MI

Other

Enumeration date
10/11/2023
Last updated
10/11/2023
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