Individual
TYLER R WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546-2073
(760) 924-4084
Mailing address
4200 DAHLBERG DR STE 300, GOLDEN VALLEY, MN 55422-4841
(952) 512-5600
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
74344
MN
207X00000X
Orthopaedic Surgery Physician
Primary
A177935
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
74344
MN
Other
Enumeration date
04/10/2017
Last updated
08/08/2025
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