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WILLIAM BRADFORD LYLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
840 WILLARD DR, SUITE 201, GREEN BAY, WI 54304-5204
(920) 497-0788
Mailing address
840 WILLARD DR, SUITE 201, GREEN BAY, WI 54304-5204
(920) 497-0788

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
40554-020
WI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
40554-020
WI

Other

Enumeration date
01/23/2007
Last updated
11/07/2007
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