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Tyler Amores, DMSc, PA-C

Physician Assistant in Bingham Farms, MI. Individual provider (NPI-1).

NPI number1356901474
StatusActive
Last updated in NPPESFeb 3, 2023

Details

NPI
1356901474
Entity type
Individual (NPI-1)
Name
Tyler Amores
Credential
DMSc, PA-C
Sex
Male
Sole proprietor
No
Enumeration date
Jun 20, 2019
Certification date
Feb 3, 2023
Last updated
Feb 3, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant5601011184MIYes
363A00000X Physician Assistant––

Practice location

30300 Telegraph Rd Ste 310
Bingham Farms, MI 48025-5822

Phone 248-468-1889

Mailing address

28475 Greenfield Rd
Ste 113 Pmb 11918
Southfield, MI 48076

Phone 248-230-9660

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