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Tyeisha Carr
NPI 1205180106 · on the registry since 2012
Practice
- Address
- 17421 Telegraph Rd
Detroit, MI 48219 - Phone
- (313) 531-2500
- Fax
- (313) 255-3465
- Clinicians at this address
- 43
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 101YA0400X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-10-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan