Search › Michigan › 163WC0200X
Tyara Ellis
NPI 1720790751 · on the registry since 2022
Practice
- Address
- 1431 Montie Rd
Lincoln Park, MI 48146 - Phone
- (313) 948-0387
Registry record
- Primary taxonomy
- 163WC0200X
163WC0200X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-12-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan