Mentzer, Kip Tyler
Mentzer, Kip Tyler is an individual health care provider with primary practice located at 201 N Mayfair Rd , Wauwatosa WI 53226-4216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mentzer, Kip Tyler can be contacted via phone (414) 771-8228.Contact Information
Primary practice address
201 N Mayfair Rd
Wauwatosa WI 53226-4216
Phone: (414) 771-8228
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 54515-20 | Wisconsin |
Profile Details
| NPI number | 1518131374 |
|---|---|
| LBN Legal business name | Mentzer, Kip Tyler |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2008 |
| Last updated | Sep 15th, 2011 - about 13 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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