Individual
TYLER M THRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 E MOUNTAIN DR, WILKES BARRE, PA 18711-0027
(570) 808-2338
(570) 808-7904
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 808-2338
(570) 808-7904
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
29934
OK
208800000X
Urology Physician
036.147345
IL
208800000X
Urology Physician
Primary
MD480613
PA
208800000X
Urology Physician
Primary
ME154296
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036147345
—
IL
05
—
113490200
—
FL
Enumeration date
04/23/2013
Last updated
02/20/2026
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