Organization · Type 2 NPI

Tyrone Chatman Etal PTR Martrilla Ross Gen PTR

Clinic/Center · Southfield, MI

NPI number 1851583215 Active

Practice location

17650 W 12 Mile Rd
Southfield, MI 48076-1911

Call (313) 871-9940 Map

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X4301039079 (MI)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1851583215

Tyrone Chatman Etal PTR Martrilla Ross Gen PTR's National Provider Identifier is 1851583215, issued on Aug 9, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Southfield, MI. The record was last updated on Aug 21, 2007.