Individual
DR. SUSAN TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MSC, FRCPC
Contact information
Practice address
GRANT 6 489 STATE ST, BANGOR, ME 04401-6616
(207) 973-6604
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
(207) 973-6604
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD23119
ME
Other
Enumeration date
06/12/2019
Last updated
07/10/2019
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