| Tyra S Mckinney Md,pllc | |
|
23350 Greenfield Rd Suite 200 Oak Park MI 48237-2496 | |
| (248) 968-4470 | |
| (248) 968-4471 |
| Full Name | Tyra S Mckinney Md,pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 23350 Greenfield Rd, Oak Park, Michigan |
| Authorized Official Name and Position | Tyra S Mckinney (OWNER/PHYSICIAN) |
| Authorized Official Contact | 2489684470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tyra S Mckinney Md,pllc Po Box 25 Bloomfield Hills MI 48303-0025 Ph: (248) 968-4470 | Tyra S Mckinney Md,pllc 23350 Greenfield Rd Suite 200 Oak Park MI 48237-2496 Ph: (248) 968-4470 |
| NPI Number | 1245274513 |
|---|---|
| Provider Enumeration Date | 06/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245274513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301074809 (Michigan) | Primary |
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Capital Administrative Management Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22100 Greenfield Rd, Suite B, Oak Park, MI 48237 Phone: 248-688-6490 | |
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