Individual
TYLER JOSEPH HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3605 MAYFAIR AVE, MESABA CLINIC, HIBBING, MN 55746-2935
(218) 362-6343
Mailing address
3605 MAYFAIR AVE, MESABA CLINIC, HIBBING, MN 55746-2935
(218) 362-6343
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1729-23
WI
363A00000X
Physician Assistant
Primary
9970
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225091234
—
MI
05
—
1225091234
—
MN
05
—
1225091234
—
WI
05
—
946470100
—
MN
Enumeration date
04/10/2006
Last updated
03/03/2015
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