Individual
DR. TYLER LINDVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
611 W PARK ST # A, URBANA, IL 61801-2501
(217) 383-3311
Mailing address
3302 STONEWAY CT # A, CHAMPAIGN, IL 61822-2405
(847) 946-0642
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125.084190
IL
Other
Enumeration date
06/07/2024
Last updated
06/10/2024
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