Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tyler Bontrager, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790530061

Tyler Bontrager, MD is a Student in an Organized Health Care Education/Training Program in Marietta, Georgia. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

677 Church St NE
Marietta, GA 30060-1101
Phone: (770) 793-6148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1790530061
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 20, 2024
Last updated in NPPESApril 20, 2024
Certification dateApril 20, 2024

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