Dr. Tyler Cole Anderson, DO
Student in an Organized Health Care Education/Training Program in Kalamazoo, MI. Individual provider (NPI-1).
NPI number1629655865
StatusActive
Last updated in NPPESApr 13, 2023
Details
- NPI
- 1629655865
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tyler Cole Anderson
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2021
- Certification date
- Apr 13, 2023
- Last updated
- Apr 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1000 Oakland DrKalamazoo, MI 49008-1282
Phone 269-337-4400
Mailing address
1000 Oakland DrKalamazoo, MI 49008-1282
Phone 813-681-5551
Other practice locations
119 Oakfield Dr
Brandon, FL 33511-5779
Brandon, FL 33511-5779
Phone 813-681-5551
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