Search › Michigan › 311ZA0620X
Tyler Ly
NPI 1487182960 · on the registry since 2017 · sole proprietor
Practice
- Address
- 5430 Polar Bear Ct Ne
Rockford, MI 49341 - Phone
- (616) 260-8194
- Fax
- (616) 883-6531
Registry record
- Primary taxonomy
- 311ZA0620X
311ZA0620X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
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