Individual
TYLER LOOYSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
4450 31ST AVE S STE 200, FARGO, ND 58104-4598
(701) 293-9829
(701) 293-0111
Mailing address
4450 31ST AVE S STE 200, FARGO, ND 58104-4598
(701) 293-9829
(701) 293-0111
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
21234
ND
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
21234
ND
Other
Enumeration date
06/28/2018
Last updated
07/31/2024
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