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Contact Information

TYLER KOERTH, ATC
10425 PANTHER PRIDE
DELTON, MI49046-8825
 Phone: 269-623-1520
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207PS0010X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for TYLER KOERTH · (Male)

NPI # 1578089645
Status Active
Credentials ATC
Entity Individual
Enumeration date 08/20/2017
Last updated 08/20/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 2601001854
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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