Individual
MR. TYLER J WIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 WIND RIDGE DR, WAUSAU, WI 54401-4173
(715) 847-2611
Mailing address
500 WIND RIDGE DR, WAUSAU, WI 54401-4173
(715) 847-2611
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
WI
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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