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Jack Ryan Tenglin
Technician/Technologist in Livonia, Michigan
NPI 1083399828

Jack Ryan Tenglin is a Technician/Technologist based in Livonia, MI. Jack Ryan Tenglin practices in Livonia, MI. The NPI Number for Jack Ryan Tenglin is 1083399828 and holds a License No. (Michigan).

The current practice location address for Jack Ryan Tenglin is 13973 Farmington Rd, Livonia, MI and can be reached out via phone at 734-855-4490.

Location: 13973 Farmington Rd, Livonia, MI, 48154-5403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083399828
Provider Name
Jack Ryan Tenglin
Credential
Provider Entity Type
Individual
Gender
Male
Address
13973 Farmington Rd, Livonia, MI, 48154-5403
Phone Number
734-855-4490
Fax Number
Provider Enumeration Date
06/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13973 Farmington Rd
City
Livonia
State
Michigan
Zip
48154-5403
Phone Number
734-855-4490
Fax Number
person
Provider Business Mailing Address Details
Address
13973 Farmington Rd
City
Livonia
State
Michigan
Zip
48154-5403
Phone Number
734-855-4490
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
-
Taxonomy
156F00000X
License No.
()
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
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