Individual provider · Type 1 NPI

Jack Ryan Tenglin

Technician/Technologist · Livonia, MI

NPI number 1083399828 Active

Practice location

13973 Farmington Rd
Livonia, MI 48154-5403

Call (734) 855-4490 Map

Specialties and licenses

TaxonomyCodeLicense
Technician/Technologist Primary 156F00000XNone listed

Technician/Technologist: A broad category grouping different kinds of technologists and technicians. See individual definitions.

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About NPI 1083399828

Jack Ryan Tenglin's National Provider Identifier is 1083399828, issued on Jun 20, 2023. The primary taxonomy on file is Technician/Technologist (156F00000X), and the practice location is in Livonia, MI. The record was last updated on Jun 20, 2023.