Individual
DR. TYLER MAZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
13889 RIDGEDALE DR, MINNETONKA, MN 55305-1768
(763) 515-2605
Mailing address
1410 RUSSET CIR, REEDSBURG, WI 53959-2230
(608) 963-4247
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3578
MN
Other
Enumeration date
09/23/2018
Last updated
09/23/2018
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