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Individual

MR. TYLER G STORZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPED, COF

Contact information

Practice address
4500 S 70TH ST, SUITE 102, LINCOLN, NE 68516-4283
(402) 484-6300
(402) 484-6302
Mailing address
4500 S 70TH ST, SUITE 102, LINCOLN, NE 68516-4283
(402) 484-6300
(402) 484-6302

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41206044600
NE
Enumeration date
02/19/2007
Last updated
11/15/2007
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