Individual
TYLER KALMUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3637 WILGUS AVE, SHEBOYGAN, WI 53081-3050
(920) 458-8213
(920) 459-9797
Mailing address
3637 WILGUS AVE, SHEBOYGAN, WI 53081-3050
(920) 458-8213
(920) 459-9797
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1002255-15
WI
Other
Enumeration date
05/16/2016
Last updated
09/21/2020
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