Individual
TYLER JAMES SYLTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT/ATC
Contact information
Practice address
4855 W ELECTRIC AVE, WEST MILWAUKEE, WI 53219-1628
(414) 640-4488
Mailing address
1155 RIVERWALK CT, PEWAUKEE, WI 53072-2576
(414) 640-4488
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
029702576
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029702576
EMPLOYEES OF GE
—
Enumeration date
08/22/2018
Last updated
08/22/2018
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