COLTON TYSON

GRAND RAPIDS, MI
NPI1922863216
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601012314)
Enumeration Date2024-02-16
Last Update Date2024-02-16
Business Address
COLTON TYSON PA-C
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 989-482-1512
Mailing Address
COLTON TYSON PA-C
625 BARLOW ST
TRAVERSE CITY, MI 49686-3304
Phone number: 989-482-1512