Whalio Doctors

NPI 1174909592

Ian Lytle MD PC

Organisation Plastic Surgery Physician Dearborn, MI

Practice location

Address
18181 Oakwood Blvd Suite 200, Dearborn, MI 48124-5032
Phone
(313) 399-9775

Authorised official

Name
Ian Frazier Lytle
Title
Physician/Owner
Phone
(313) 399-9775

Registered specialties

Plastic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 4301088089 (MI)

Registry record

NPI
1174909592
Entity type
Organization
NPI issued
7 Aug 2015
Record last updated
18 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.