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Individual

TYLER LEWANDOWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
911 NORTHLAND DR, PRINCETON, MN 55371-2172
(633) 896-3067
Mailing address
1555 NORTHWAY DR STE 200, SAINT CLOUD, MN 56303-4913

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
67295
MN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/08/2018
Last updated
06/09/2021
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