Wyatt, David T
Wyatt, David T is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Pediatric Endocrinology, Milwaukee WI 53226-4874. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as his primary health care specialty. Wyatt, David T can be contacted via phone (414) 266-6750.Contact Information
Primary practice address
9000 W Wisconsin Ave Pediatric Endocrinology
Milwaukee WI 53226-4874
Phone: (414) 266-6750
Fax: (414) 266-6749
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | 26521 | Wisconsin |
Profile Details
| NPI number | 1770535189 |
|---|---|
| LBN Legal business name | Wyatt, David T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Sep 25th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770535189 | NPPES |
| Wisconsin | MEDICAID | 1770535189 | |
| Wisconsin | Other | 002000139C |
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