SearchNew York183500000X

Tyler Douma

NPI 1699454074 · on the registry since 2023

Practice

Address
578 Dick Rd
Depew, NY 14043
Phone
(716) 683-9870
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-01-08

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 New York