Individual
EVAN LYTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 556-1990
(269) 556-1996
Mailing address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 556-1990
(269) 556-1996
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
5101021968
MI
Other
Enumeration date
07/06/2015
Last updated
01/13/2023
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