Individual
TYLER ERNEST PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
50 UNION STREET, ELLSWORTH, ME 04605-2119
(072) 664-5658
Mailing address
1170 SHORE ROAD, LAMOINE, ME 04605
(603) 978-6076
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
DO3615
ME
Other
Enumeration date
02/22/2018
Last updated
06/25/2023
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