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Tyler Derouin
NPI 1437564085 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1136 Washington Ave
Detroit Lakes, MN 56501 - Phone
- (218) 847-2624
- Fax
- (218) 847-5792
- Organisation at this address
- Drs. Fritz & Mccauley
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-06-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota