Individual
TYLER SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 15TH AVE S, GREAT FALLS, MT 59405-5240
(406) 454-2171
Mailing address
3000 15TH AVE S, GREAT FALLS, MT 59405-5240
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R71952
AZ
207W00000X
Ophthalmology Physician
Primary
41039
MT
Other
Enumeration date
11/01/2010
Last updated
09/29/2016
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