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Marisa Tyler

Perfusionist in Plymouth, MI. Individual provider (NPI-1).

NPI number1891491908
StatusActive
Last updated in NPPESFeb 1, 2023

Details

NPI
1891491908
Entity type
Individual (NPI-1)
Name
Marisa Tyler
Sex
Female
Sole proprietor
No
Enumeration date
Feb 1, 2023
Certification date
Feb 1, 2023
Last updated
Feb 1, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
242T00000X Perfusionist––Yes

Practice location

45211 Helm St Ste 110
Plymouth, MI 48170-6023

Phone 734-525-9712

Mailing address

45211 Helm St Ste 110
Plymouth, MI 48170-6023

Phone 734-525-9712

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