Individual
TYLER M NEITLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 E CAMPUS VIEW BLVD STE 100, COLUMBUS, OH 43235-8628
(614) 340-7740
Mailing address
17310 WRIGHT ST STE 103, OMAHA, NE 68130-2405
(833) 228-6889
(877) 853-0376
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
12500C
WY
2085R0202X
Diagnostic Radiology Physician
16148
ND
2085R0202X
Diagnostic Radiology Physician
Primary
ME99487
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME99487
MEDICAL LICENSE
FL
Enumeration date
07/17/2007
Last updated
11/05/2024
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