Individual provider · NPI-1

Tyler Junttila, MD

Ophthalmology · Bemidji, MN

NPI number1447772991

StatusActive

Last updated in NPPESSep 16, 2022

Details

NPI: 1447772991
Entity type: Individual (NPI-1)
Name: Tyler Junttila
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Jul 15, 2017
Certification date: Sep 16, 2022
Last updated: Sep 16, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207W00000X	Ophthalmology	71535	MN	Yes
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

1611 Anne St Nw
Bemidji, MN 56601-5114

Phone 218-333-2020 · Fax 218-333-2019

Mailing address

Po Box 5074
Sioux Falls, SD 57117-5074

Other practice locations

1176 Main St
Buffalo, NY 14209-2102

Phone 716-881-7900

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