Individual
TYLER JAY CICHOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
101 BRANIGIN BLVD, FRANKLIN, IN 46131-2598
(800) 852-0232
Mailing address
1039 WEST JEFFERSON ST., BLDG. 1039 APT. #10, FRANKLIN, IN 46131
(989) 860-1073
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/10/2021
Last updated
01/11/2021
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