Individual
MR. TYLER DE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3200 GRAND AVE, DES MOINES, IA 50312-4104
(515) 271-1569
Mailing address
N3946 W CENTER RD, WAUPUN, WI 53963-9449
(920) 382-6492
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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