Individual
MICHAEL J. TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 OLD GRAHAM RD, PITTSBORO, NC 27312-5655
(919) 542-2731
(919) 542-7083
Mailing address
75 OLD GRAHAM RD, PITTSBORO, NC 27312-5655
(919) 542-2731
(919) 542-7083
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24878
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0151836
UNITEDHEALTHCARE-PITTSBOR
NC
01
—
0151838
UNITEDHEALTHCARE-SANFORD
NC
01
—
152734500
US DEPT. OF LABOR
—
01
—
31985
MEDCOST-PITTSBORO
NC
01
—
51232
MEDCOST-SANFORD
NC
01
—
84267
BCBS
NC
05
—
8984267
—
NC
Enumeration date
10/25/2006
Last updated
05/18/2011
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