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Individual

DR. TYLER ANSON BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
10815 PRAIRIE BROOK RD, OMAHA, NE 68144-4827
(402) 397-1800
Mailing address
10815 PRAIRIE BROOK RD, OMAHA, NE 68144-4827
(402) 397-1800

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1545
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025728300
NE
Enumeration date
12/30/2008
Last updated
06/19/2013
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