Provider Demographics
NPI:1912148776
Name:BUSER, TYLER M (MD)
Entity Type:Individual
Prefix:
First Name:TYLER
Middle Name:M
Last Name:BUSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1131 S CLIFTON AVE STE B
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67218-2963
Mailing Address - Country:US
Mailing Address - Phone:316-462-1040
Mailing Address - Fax:316-462-1042
Practice Address - Street 1:1131 S CLIFTON AVE STE B
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67218-2963
Practice Address - Country:US
Practice Address - Phone:316-462-1040
Practice Address - Fax:316-462-1042
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-09
Last Update Date:2017-11-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS04-34339207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine