Individual
TYLER DANIEL WICKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6002 POINTE WEST BLVD, BRADENTON, FL 34209-5531
(941) 792-2020
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-8575
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME162826
FL
Other
Enumeration date
04/07/2020
Last updated
07/22/2025
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