Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Ryan Tenglin

Individual provider Technician/Technologist · NPI 1083399828

Jack Ryan Tenglin is a Technician/Technologist in Livonia, Michigan. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

13973 Farmington Rd
Livonia, MI 48154-5403
Phone: (734) 855-4490
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Technician/Technologist (primary) Taxonomy 156F00000X

Record details

NPI number1083399828
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 20, 2023
Last updated in NPPESJune 20, 2023
Certification dateJune 20, 2023

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