Individual
DR. DALE JAMES LYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10400 W NORTH AVE, SUITE 300, MILWAUKEE, WI 53226-2425
(414) 771-7470
(414) 771-7493
Mailing address
10335 N PORT WASHINGTON RD, SUITE 250, MEQUON, WI 53092-5763
(262) 240-9870
(262) 240-9869
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
27023-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31536400
—
WI
Enumeration date
06/24/2006
Last updated
11/01/2007
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