Individual
TYLER MCGLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
117 2ND ST NE, FOSSTON, MN 56542-1301
(218) 435-1044
(218) 435-1143
Mailing address
44199 410TH AVE SE, LENGBY, MN 56651-4030
(218) 280-1609
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
213700-7
MN
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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