Individual
TYCE JEFFREY KEARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 955-4170
(414) 955-6543
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 955-4170
(414) 955-6543
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
65649
WI
208000000X
Pediatrics Physician
65649
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700205549
—
WI
Enumeration date
04/09/2014
Last updated
03/12/2024
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