DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TYLER JOHN BACK, PA-C

Active

TYLER JOHN BACK, PA-C is a Physician Assistant healthcare provider located in ROBBINSDALE, Minnesota. NPI 1144704867 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · ROBBINSDALE, MN

Registration Details

NPI Number
1144704867
Provider Type
Individual
Gender
Male
NPI Issued
Sep 19, 2018 (7.8762168801117 yrs)
Last Updated
Sep 19, 2018

Practice Information

Address
3366 OAKDALE AVE N STE 303
ROBBINSDALE, MN, 554222977
Browse MN providers · Browse ZIP 55422
Phone
7635207700
Fax
7635207776
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in ROBBINSDALE, MN

Name Credential NPI
MRS. LINDA Y LIEN SANKS PAC 1497735674
MRS. JACALYN JEANNE BEILER PA-C 1518927326
GAIL MARIE HANSEN PA C 1831152396
CRYSTAL FAITH CASTILLO PAC 1104872597
TONYA FAUNDEEN PA 1578508032
KAREN ELAINE RILEY PA 1912942525
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.