Individual
TYLER RICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-6000
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-6000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
50974-021
WI
208M00000X
Hospitalist Physician
50974-021
WI
Other
Enumeration date
05/09/2006
Last updated
12/17/2009
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