Individual
TYLER SUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
8200 DODGE STREET, OMAHA, NE 68114-4113
(402) 955-5400
(402) 955-3674
Mailing address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-5400
(402) 955-3674
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2144
NE
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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