Individual
MR. TYLER D CARLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2555 N MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-2709
(414) 266-2641
Mailing address
221 E OREGON ST APT 413, MILWAUKEE, WI 53204-2467
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4120-23
WI
Other
Enumeration date
07/31/2017
Last updated
07/31/2017
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