Individual
DR. TYLER ROSS DEROUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1136 WASHINGTON AVE, DETROIT LAKES, MN 56501-3411
(218) 847-2624
(218) 847-5792
Mailing address
1136 WASHINGTON AVE, DETROIT LAKES, MN 56501-3411
(218) 847-2624
(218) 847-5792
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13417
MN
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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