Individual
MICHAEL J TISDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
35746 HARPER AVE, CLINTON TWP, MI 48035-3212
(586) 791-9203
Mailing address
22213 MYLLS CT, SAINT CLAIR SHORES, MI 48081-1232
(586) 218-7436
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
MI
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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