Individual provider · Type 1 NPI

Tyler ST Louis, MD

Student in an Organized Health Care Education/Training Program · Livonia, MI

NPI number 1558051060 Active · reactivated Dec 15, 2023

Practice location

Trinity Health Livonia Hospital, 36475 Five Mile Rd
Livonia, MI 48154

Fax (734) 655-8430

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1558051060

Tyler ST Louis, MD's National Provider Identifier is 1558051060, issued on May 9, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Livonia, MI. The record was last updated on Dec 15, 2023.