Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 31242 | OK |
NPI | 1003050493 |
---|---|
Provider Name | Dr. Tyler Sean Auschwitz |
First Address | Tulsa, OK 74104 |
Second Address | Tulsa, OK 74104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2009 |
Last Update Date | 02/01/2018 |