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1922863216
COLTON TYSON
GRAND RAPIDS, MI
NPI
1922863216
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601012314)
Enumeration Date
2024-02-16
Last Update Date
2024-02-16
Business Address
COLTON TYSON PA-C
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 989-482-1512
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Mailing Address
COLTON TYSON PA-C
625 BARLOW ST
TRAVERSE CITY, MI 49686-3304
Phone number: 989-482-1512
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