Individual
TYLER VELDKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2835 N GRANDVIEW BLVD STE 300, PEWAUKEE, WI 53072-5591
(262) 542-3779
(262) 542-4428
Mailing address
944 CENTER AVE, PO BOX 700255, OOSTBURG, WI 53070-1354
(920) 889-1067
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1131-25
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100080538
—
WI
Enumeration date
03/30/2015
Last updated
02/16/2022
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