Tyler John Back, PA-C
NPI #1144704867 in Robbinsdale, Minnesota
Provider Information
- NPI Number
- 1144704867
- Entity Type
- Individual
- Name
- Tyler John Back, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Sep 19, 2018
- Last Updated
- Sep 19, 2018
Practice Location
- Address
- 3366 OAKDALE AVE N STE 303
- City
- Robbinsdale
- State
- Minnesota
- ZIP Code
- 55422-2977
- Phone
- (763) 520-7700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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