Individual
DR. VICKI LYNN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11803 W NORTH AVE, WAUWATOSA, WI 53226
(414) 258-5522
(414) 258-1337
Mailing address
11803 W NORTH AVE, WAUWATOSA, WI 53226
(414) 258-5522
(414) 258-1337
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
21533
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30016800
—
WI
01
—
AT1151175
BND#
—
Enumeration date
10/26/2006
Last updated
07/08/2007
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