Individual
DR. KEVIN L TADYCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7520 US HIGHWAY 51 S, STE A, MINOCQUA, WI 54548-8943
(888) 444-2873
(608) 467-1393
Mailing address
7520 US HIGHWAY 51 S, STE A, MINOCQUA, WI 54548-8943
(888) 444-2873
(608) 467-1393
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
29520-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1052540001
DMERC
WI
Enumeration date
11/13/2006
Last updated
01/23/2014
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