Individual
TYREL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
H.A.D
Contact information
Practice address
400 S STATE ST # 400, ZEELAND, MI 49464-2067
(616) 207-8794
Mailing address
631 CLAYTON AVE NW, WALKER, MI 49534-3511
(616) 406-8339
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3501008068
MI
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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