Tanritai Wyllie
M.D. | Pediatrics | Female
Tanritai Wyllie, M.D. is a Oak Creek, Wisconsin based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Tanritai Wyllie is
8375 S Howell Ave, Oak Creek, Wisconsin - 53154-8344. She can be contacted on phone at
414-764-5726 and fax number 414-764-6954.
Tanritai Wyllie is a sole proprietor of her business.
NPI number (Unique professional ID) for Tanritai Wyllie is
1598938912 which was assigned by NPPES on 07 Apr, 2008 and it was last updated on 23 Jun, 2014.
Tanritai Wyllie license number is
53900 for Pediatrics (208000000X) in Wisconsin.
Tanritai Wyllie is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Tanritai Wyllie basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Tanritai Wyllie |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Tanritai Wyllie address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 8375 S Howell Ave
Oak Creek, WI, 53154-8344
United States |
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| Phone Number : | 414-764-5726 |
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| Fax Number : | 414-764-6954 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1598938912 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Apr, 2008 |
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| Last Updated On : | 23 Jun, 2014 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tanritai Wyllie are as mentioned. Primary taxonomy code for Tanritai Wyllie, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 53900 | WI |
Legacy Identifiers:
Other legacy medical identifiers of Tanritai Wyllie such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1598938912 | MEDICAID | WI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 8375 S Howell Ave
Oak Creek, WI, 53154-8344
United States |
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| Phone Number : | 414-764-5726 |
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| Fax Number : | 414-764-6954 |
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Business Location:
Patients can refer following map for directions to
Tanritai Wyllie practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.