Individual provider · Type 1 NPI

Tylar Fugate

Electroneurodiagnostic Specialist/Technologist · Plymouth, MI

NPI number 1144020652 Active

Practice location

45211 Helm St
Plymouth, MI 48170-6023

Specialties and licenses

TaxonomyCodeLicense
Electroneurodiagnostic Specialist/Technologist Primary 246ZE0600XNone listed

Electroneurodiagnostic Specialist/Technologist: Definition to come...

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About NPI 1144020652

Tylar Fugate's National Provider Identifier is 1144020652, issued on Mar 14, 2025. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Plymouth, MI. The record was last updated on Apr 23, 2025.