Individual
DR. TYLER DAVID REAMSNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12563 STATE ROAD 23, GRANGER, IN 46530-9226
(574) 335-8300
(574) 335-0775
Mailing address
707 CEDAR ST STE 405, SOUTH BEND, IN 46617-2059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01088457A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102631494
ANTHEM
IN
05
—
300027868
—
IN
Enumeration date
03/22/2019
Last updated
11/10/2023
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