Individual provider · Type 1 NPI
Tyler Douglas Hickerson, CNIM
Electroneurodiagnostic Specialist/Technologist · Winter Park, FL
NPI number
1861994584
Active
Practice location
127 W Fairbanks Ave # 180
Winter Park, FL 32789-4326
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Electroneurodiagnostic Specialist/Technologist Primary | 246ZE0600X | 3216 |
Electroneurodiagnostic Specialist/Technologist: Definition to come...
2 other providers at this address
Other electroneurodiagnostic specialist/technologist providers in Winter Park
About NPI 1861994584
Tyler Douglas Hickerson, CNIM's National Provider Identifier is 1861994584, issued on Mar 8, 2018. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Winter Park, FL. The record was last updated on Mar 8, 2018.