Individual provider · NPI-1

Tyler Atkins, M.D.

Neurological Surgery · Fort Wayne, IN

NPI number1114331493
StatusActive
Last updated in NPPESOct 17, 2022

Details

NPI
1114331493
Entity type
Individual (NPI-1)
Name
Tyler Atkins
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 16, 2014
Certification date
Oct 15, 2022
Last updated
Oct 17, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207T00000X Neurological Surgery01086221AINYes
207T00000X Neurological Surgery201649NC

Practice location

11104 Parkview Circle Dr Ste 110
Fort Wayne, IN 46845-1673

Phone 260-425-6780

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Other practice locations

1000 Blythe Blvd
Medical Education Building, Suite 157
Charlotte, NC 28203-5812

Phone 704-355-4823 · Fax 704-446-9120

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