Individual
JOHN MARK TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2502 25TH ST, COLUMBUS, IN 47201-3728
(812) 375-3906
Mailing address
13749 DEERFIELD LOOP, MEMPHIS, IN 47143-9361
(812) 376-5315
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01078698A
IN
207Q00000X
Family Medicine Physician
Primary
21550
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215501
—
SC
Enumeration date
05/03/2006
Last updated
03/01/2026
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