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Dr. Tyler D Mack, MD
Student in an Organized Health Care Education/Training Program in Buffalo, New York
NPI 1568166445

Tyler D Mack is a Student in an Organized Health Care Education/Training Program based in Buffalo, NY. Tyler D Mack practices in Buffalo, NY and has the professional credentials of MD. The NPI Number for Tyler D Mack is 1568166445 and holds a License No. (New York).

The current practice location address for Tyler D Mack is 2157 Main St, Buffalo, NY and can be reached out via phone at 716-862-1423.

Location: 2157 Main St, Buffalo, NY, 14214-2648
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568166445
Provider Name
Tyler D Mack
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2157 Main St, Buffalo, NY, 14214-2648
Phone Number
716-862-1423
Fax Number
Provider Enumeration Date
03/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2157 Main St
City
Buffalo
State
New York
Zip
14214-2648
Phone Number
716-862-1423
Fax Number
person
Provider Business Mailing Address Details
Address
2157 Main St
City
Buffalo
State
New York
Zip
14214-2648
Phone Number
716-862-1423
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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