Individual
TYLER D. HAUSWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1760 COUNTY ROAD J, SAUNDERS MEDICAL CENTER, WAHOO, NE 68066-4152
(402) 443-4191
(402) 443-1402
Mailing address
1760 COUNTY ROAD J, SAUNDERS MEDICAL CENTER, WAHOO, NE 68066-4152
(402) 443-4191
(402) 443-1402
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
935
NE
363A00000X
Physician Assistant
Primary
NE00935
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06685
BLUE CROSS BLUE SHIELD
NE
01
—
236616
MIDLANDS CHOICE
NE
05
—
554935245
—
NE
Enumeration date
10/24/2005
Last updated
06/03/2025
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