Individual
TYLER ANTHONY WOLPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5300 N MEADOWS DR, GROVE CITY, OH 43123-2546
(614) 663-5000
Mailing address
196 S GRANT AVE APT 204, COLUMBUS, OH 43215-8365
(740) 317-3230
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.435880
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0021069
OH
Other
Enumeration date
04/22/2024
Last updated
07/08/2024
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