Individual
DR. TYLER BROOKS FREDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 983-3164
(765) 983-3260
Mailing address
550 UNIVERSITY BLVD, ROOM 0641, INDIANAPOLIS, IN 46202-5149
(317) 278-2449
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01063947A
IN
Other
Enumeration date
06/27/2008
Last updated
04/25/2022
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