Individual
TYLER EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4055 YANKEE HILL RD, LINCOLN, NE 68516-7718
(402) 328-6300
Mailing address
6500 PHEASANT RUN CT, LINCOLN, NE 68516-2461
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35817
NE
207ND0101X
MOHS-Micrographic Surgery Physician
35817
NE
207NP0225X
Pediatric Dermatology Physician
35817
NE
207NS0135X
Procedural Dermatology Physician
35817
NE
Other
Enumeration date
06/13/2019
Last updated
07/21/2023
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