Individual
JONATHAN TYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
802 MAIN ST, LISBON, ND 58054-4204
(701) 683-7900
Mailing address
802 MAIN ST, LISBON, ND 58054-4204
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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