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NPI Code Detail

MEDICARE: TYLER SHEARER

MEDICARE: TYLER SHEARER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant50.005622RXOH

General Provider Information

NPI Number : 1699247452
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYLER SHEARER
Provider Business Mailing Address
First Line : 27030 CEDAR RD APT 514
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-1121
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 PARK WEST BLVD STE 330
Second Line :
City : AKRON
State : OH
Zip : 44320-4226
Country : US
Telephone Number : 330-835-5533
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2018
Last Update Date : 12/18/2018

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Directions to “ TYLER SHEARER ” Practice Location

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