Individual
TYLER D ZENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 TOWER DR, SUN PRAIRIE, WI 53590-1239
(608) 825-3500
(608) 825-3786
Mailing address
10 TOWER DR, SUN PRAIRIE, WI 53590-1239
(608) 825-3500
(608) 825-3786
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43642-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194778704
—
WI
Enumeration date
05/18/2006
Last updated
12/23/2020
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