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Individual
TYLER MINETOLA
Active
Individual
TYLER MINETOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
POD305089
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD305089
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/22/2023
Last updated
07/07/2026
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