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Tyler Dittmann, DO
Student in an Organized Health Care Education/Training Program in Lewisburg, West Virginia
NPI 1861137788

Tyler Dittmann is a Student in an Organized Health Care Education/Training Program based in Lewisburg, WV. Tyler Dittmann practices in Lewisburg, WV and has the professional credentials of DO. The NPI Number for Tyler Dittmann is 1861137788 and holds a License No. (West Virginia).

The current practice location address for Tyler Dittmann is 1464 Jefferson St N, Lewisburg, WV and can be reached out via phone at 304-645-3220 and via fax at 304-647-1273. You can also correspond with Tyler Dittmann through the mailing address at 1464 JEFFERSON ST N, LEWISBURG, WV - 24901-1380 (mailing address contact number: 304-645-3220).

Location: 1464 Jefferson St N, Lewisburg, WV, 24901-1380
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861137788
Provider Name
Tyler Dittmann
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1464 Jefferson St N, Lewisburg, WV, 24901-1380
Phone Number
304-645-3220
Fax Number
304-647-1273
Provider Enumeration Date
05/04/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1464 Jefferson St N
City
Lewisburg
State
West Virginia
Zip
24901-1380
Phone Number
304-645-3220
Fax Number
304-647-1273
person
Provider Business Mailing Address Details
Address
1464 Jefferson St N
City
Lewisburg
State
West Virginia
Zip
24901-1380
Phone Number
304-645-3220
Fax Number
304-647-1273
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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