Individual
TYLER ANTHONY BADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4403 FAR HILLS AVE, KETTERING, OH 45429-2405
(937) 395-3900
Mailing address
819 N MAIN AVE, SIDNEY, OH 45365-2152
(859) 468-1611
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
AT005827
OH
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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