DR. Tyler Doersam, O.D.
NPI #1417365123 in Saint Charles, Illinois
Provider Information
- NPI Number
- 1417365123
- Entity Type
- Individual
- Name
- DR. Tyler Doersam, O.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- O.D.
- Enumeration Date
- Jul 25, 2014
- Last Updated
- Mar 11, 2016
Practice Location
- Address
- 118 LAKESIDE DR
- Address 2
- APT 434
- City
- Saint Charles
- State
- Illinois
- ZIP Code
- 60174-7905
- Phone
- (815) 821-3088
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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Organizations
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|---|---|
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