Individual
TYLER BRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-1000
Mailing address
PO BOX 1309, MS21110Q, MINNEAPOLIS, MN 55440-1309
(952) 993-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
62132
MN
Other
Enumeration date
03/27/2014
Last updated
04/13/2023
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