Individual
TYLER NORTHRUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
408 WENDELL AVE, LEWISTOWN, MT 59457-2261
(406) 535-7711
Mailing address
408 WENDELL AVE, LEWISTOWN, MT 59457-2261
(406) 535-7711
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MED-PHYS-LIC-174119
MT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2022
Last updated
06/01/2026
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