Individual
TYLER A WEIGANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2930 11TH AVE, EVANS, CO 80620-1011
(970) 353-9403
(970) 353-5884
Mailing address
2930 11TH AVE, EVANS, CO 80620
(970) 350-4606
(970) 350-4645
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
55777
CO
Other
Enumeration date
05/19/2014
Last updated
07/21/2022
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