Individual
DR. TYLER LOUIS JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5923 RENAISSANCE PL, TOLEDO, OH 43623-4709
(567) 408-2002
(419) 214-1196
Mailing address
2213 CHERRY ST, TOLEDO, OH 43608-2603
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35.145371
OH
207P00000X
Emergency Medicine Physician
Primary
MED-PHYS-LIC-141522
MT
Other
Enumeration date
04/09/2020
Last updated
08/01/2024
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