Individual
TYLER CONWAY WIND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 MT CLEMENT PARK, SUITE B, TAPPAHANNOCK, VA 22560-5098
(804) 443-8670
(804) 443-8675
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
LL28139
SC
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
0101248828
VA
Other
Enumeration date
10/12/2006
Last updated
02/27/2014
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