Individual
TYLER SURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
806 JACKSON ST, COLUMBUS, IN 47201-6264
(812) 799-3288
Mailing address
806 JACKSON ST, COLUMBUS, IN 47201-6264
(812) 799-3288
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
01082678A
IN
Other
Enumeration date
04/25/2016
Last updated
08/20/2019
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