Individual
TYLER MARK IDEUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9100 ANDERMATT DR STE 2, LINCOLN, NE 68526-6700
(402) 239-2298
Mailing address
9100 ANDERMATT DR STE 2, LINCOLN, NE 68526-6700
(402) 239-2298
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1644
NE
Other
Enumeration date
01/04/2011
Last updated
08/09/2019
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