TYLER S ROSE

EAST LANSING, MI
NPI1942668389
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: MI  4901005104)
Additional Taxonomies152W00000X Optometrist
(Licence: NV  905)
Enumeration Date2016-01-30
Last Update Date2021-11-30
Business Address
Dr. TYLER S ROSE OD
330 W LAKE LANSING RD
EAST LANSING, MI 48823-8527
Phone number: 517-337-8182
Mailing Address
Dr. TYLER S ROSE OD
PO BOX 208177
DALLAS, TX 75320-8177
Phone number: 636-200-4393