Individual
DR. TYLER SCOTT DETTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 W GREENLAWN AVE, LANSING, MI 48910-2819
(517) 975-6000
Mailing address
401 W GREENLAWN AVE, LANSING, MI 48910-2819
(517) 975-6000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301501004
MI
Other
Enumeration date
05/18/2017
Last updated
06/28/2020
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