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

TYLER TIDWELL, DPM

Active

TYLER TIDWELL, DPM is a Podiatrist healthcare provider located in NEWBURGH, Indiana. NPI 1629462635 is currently active in the NPPES registry. Verify at CMS.

Podiatrist · NEWBURGH, IN

Registration Details

NPI Number
1629462635
Provider Type
Individual
Gender
Male
NPI Issued
Mar 27, 2015 (11.358945525558 yrs)
Last Updated
Nov 19, 2019
Licenses
41000347A (IN)
244018 (KY)
07001297A (IN)

Practice Information

Address
4233 GATEWAY BLVD
NEWBURGH, IN, 476308900
Browse IN providers · Browse ZIP 47630
Phone
8128585786
Fax
8124904512
Primary Specialty
Podiatrist
213E00000X
Additional Specialty
Podiatrist
Additional Specialty
Podiatrist

Other Podiatrist Providers in NEWBURGH, IN

Name Credential NPI
DARIN RICHARD SERLETIC DPM 1528040714
BRANDT L DODSON DPM 1891861035
LORIN MICKELSEN IV DPM 1689058356
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.