Individual
DR. TYLER CRISSINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
46 BARRA RD STE 101, BIDDEFORD, ME 04005-9461
(207) 282-5509
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-0111
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD23923
ME
Other
Enumeration date
03/25/2020
Last updated
08/07/2024
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