Dyer, Mitchell Robert

Dyer, Mitchell Robert is an individual health care provider with primary practice located at 9200 W Wisconsin Ave , Milwaukee WI 53226-3522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Dyer, Mitchell Robert can be contacted via phone (414) 805-6000.

Contact Information

Primary practice address
9200 W Wisconsin Ave Milwaukee WI 53226-3522
Phone: (414) 805-6000
Fax: (414) 805-6280
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 81059-20 Wisconsin

Profile Details

NPI number 1477815967
LBN Legal business name Dyer, Mitchell Robert
Credentials M.D., MSC.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2012
Last updated Oct 12th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477815967 NPPES
Wisconsin MEDICAID 1477815967

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