Doctor profile · Federal record
Dr. TYLER DEROUIN
General Practice Dentistry · DETROIT LAKES, MN
- NPI 1437564085
- 12 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1136 WASHINGTON AVE
DETROIT LAKES, MN 565013411
(218) 847-2624
fax (218) 847-5792
Credentials & registration
- NPI registered
- June 2014 — 12 yrs on file
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Minnesota #D13417
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1437564085. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$416
Transactions
4
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ZIMVIE INC. | 3 | $349.71 | |
| Solventum Corporation | 1 | $66.41 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
43
Patients
31
Total drug cost
$192
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 43 | 31 | $192 |