IndividualActive
Tyler Menge, MD
NPI 1922461235 · Dermatopathology (Pathology) Physician · Roseville, MN
Provider details
- NPI number
- 1922461235
- Entity type
- Individual
- Primary specialty
- Dermatopathology (Pathology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4301501739 (MI)
Practice location
2720 Fairview Ave N Ste 200
Roseville, MN 55113-1306
Phone: (651) 633-6883
Mailing address
4444 W Bristol Rd Ste 150
Flint, MI 48507-3161
Registry dates
- Enumerated
- 2016-04-04
- Last updated
- 2026-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.