Individual
DR. TYLER WAYNE FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1244 PRIMACY PKWY, MEMPHIS, TN 38119-0201
(901) 767-8662
(901) 767-8666
Mailing address
6077 PRIMACY PKWY STE 140, MEMPHIS, TN 38119-5754
(901) 786-4198
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
62663
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62663
TN LICENSE
TN
Enumeration date
04/14/2015
Last updated
08/02/2021
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