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Individual
TYLER L SEICK
Active
Individual
TYLER L SEICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
379
MT
363A00000X
Physician Assistant
Primary
PA60449803
WA
363AM0700X
Medical Physician Assistant
PA60449803
WA
363AS0400X
Surgical Physician Assistant
PA60449803
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4303468
—
MT
01
—
95813
BLUE CROSS
MT
Enumeration date
05/24/2006
Last updated
08/19/2014
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