Individual
TYLER CHRISTIAN PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
981150 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-1150
(402) 559-6802
Mailing address
5625 S 33RD AVE, OMAHA, NE 68107-3328
(402) 731-1193
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
NE5284
NE
Other
Enumeration date
04/24/2007
Last updated
07/09/2007
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