Individual
TYLER WAYNE WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
775 POLE LINE RD W STE 212, TWIN FALLS, ID 83301-5820
(208) 814-8400
(208) 734-3045
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1571057
ID
208600000X
Surgery Physician
R78076
AZ
Other
Enumeration date
04/29/2020
Last updated
02/05/2026
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