Individual
DR. KEITH F TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2001 BLAISDELL AVE, MINNEAPOLIS, MN 55404-2414
(952) 993-8000
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3143
MN
152W00000X
Optometrist
9995
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009995
—
IL
Enumeration date
07/10/2007
Last updated
12/01/2023
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