Individual
TYLER JOSEPH DOERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3743 LANDMARK DR STE 200, LAFAYETTE, IN 47905-6656
(765) 448-4511
Mailing address
1098 MOUNT VERNON CT, GREENWOOD, IN 46142-1854
(317) 893-6332
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28274312A
IN
363LP2300X
Primary Care Nurse Practitioner
Primary
71015759A
IN
Other
Enumeration date
08/24/2023
Last updated
11/04/2024
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