Individual
TYRE K JONES IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1579 WEDGEWOOD PL, ESSEXVILLE, MI 48732
(989) 891-0598
Mailing address
1579 WEDGEWOOD PL, ESSEXVILLE, MI 48732-3203
(989) 891-0598
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301061400
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4409112
—
MI
Enumeration date
01/27/2006
Last updated
05/29/2019
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