Individual
TYLER J OSTERLOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
EMILE @ 42ND ST, OMAHA, NE 68198-0001
(402) 559-0692
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2418
NE
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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