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Dr. Tristan J Worthington, DO

Family Medicine in Wyoming, MI. Individual provider (NPI-1).

NPI number1013590983
StatusActive
Last updated in NPPESSep 20, 2024

Details

NPI
1013590983
Entity type
Individual (NPI-1)
Name
Dr. Tristan J Worthington
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Apr 29, 2021
Certification date
Sep 20, 2024
Last updated
Sep 20, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine5101028239MIYes

Practice location

5900 Byron Center Ave Sw
Wyoming, MI 49519-9606

Phone 616-252-7200 · Fax 616-252-4953

Mailing address

2215 44th St Sw
Wyoming, MI 49519-6439

Phone 616-252-8300 · Fax 616-252-8393

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