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Individual

PATRICK TYRRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503
(616) 685-5576
(616) 685-8910
Mailing address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 685-5576
(616) 685-8910

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101022459
MI
208M00000X
Hospitalist Physician
Primary
5101022459
MI

Other

Enumeration date
02/22/2016
Last updated
04/22/2022
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