Individual
CHAD P TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1491 SHERIDAN DR, TONAWANDA, NY 14217-1234
(716) 332-4476
Mailing address
1491 SHERIDAN DR, TONAWANDA, NY 14217-1234
(716) 332-4476
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
259454-1
NY
207Q00000X
Family Medicine Physician
5101017951
MI
Other
Enumeration date
09/30/2009
Last updated
01/24/2013
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