Individual
TYLER BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
Mailing address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
22583
WI
208600000X
Surgery Physician
22583
WI
208600000X
Surgery Physician
7484
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275916447
—
WI
Enumeration date
07/06/2015
Last updated
07/26/2023
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