Search › Michigan › 164W00000X
Tyra Real
NPI 1588513600 · on the registry since 2026
Practice
- Address
- 1153 Stacy Dr
Canton, MI 48188 - Phone
- (717) 801-6030
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-01-22
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