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TYLER DRAKE MENGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2720 FAIRVIEW AVE N STE 200, ROSEVILLE, MN 55113-1306
(651) 633-6883
Mailing address
4444 W BRISTOL RD STE 150, FLINT, MI 48507-3161
(833) 322-3376

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
35.139934
OH
207N00000X
Dermatology Physician
4301501739
MI
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
4301501739
MI
207ZD0900X
Dermatopathology (Pathology) Physician
MD203405
OR

Other

Enumeration date
04/04/2016
Last updated
03/06/2026
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