Tyler David Baran

NPI #1811375033 in Germantown, Wisconsin

Provider Information

NPI Number: 1811375033
Entity Type: Individual
Name: Tyler David Baran
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: May 7, 2015
Last Updated: May 7, 2015

Practice Location

Address: W159N9671 BUTTERNUT RD
City: Germantown
State: Wisconsin
ZIP Code: 53022-5148
Phone: (262) 347-9607

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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