Individual
DR. TYLER KENNETH BAARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2405 HENNEPIN AVE, MPLS, MN 55405-2606
(612) 584-4142
(612) 584-4147
Mailing address
2405 HENNEPIN AVE, MPLS, MN 55405-2606
(612) 584-4142
(612) 584-4147
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046010599
IL
152W00000X
Optometrist
3432
MN
152W00000X
Optometrist
Primary
MN3432
MN
Other
Enumeration date
07/20/2012
Last updated
12/04/2020
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