Kip Tyler Mentzer in Milwaukee - Family Medicine

Kip Tyler Mentzer - NPI 1518131374

Kip Tyler Mentzer is a Family Medicine in Milwaukee, Wisconsin. Kip Tyler Mentzer practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kip Tyler Mentzer is 1518131374. The last update date is 2011-09-15.

Kip Tyler Mentzer's current location address is 2918 N 69th St, Milwaukee, Wisconsin. You can contact this provider via phone number 4196746590. The mailing address for Kip Tyler Mentzer is 2918 N 69th St, Milwaukee, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Kip Tyler Mentzer
Address 2918 N 69th St, Milwaukee, Wisconsin
Phone Number 4196746590
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1518131374
Provider Enumeration Date 2008-04-14
Last Updated Date 2011-09-15

Provider Mailing Address Detail

Address 2918 N 69th St
City Milwaukee
State Wisconsin (WI)
Post Code 532101215
Phone Number 4196746590
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 54515-20
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

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FAQs about Kip Tyler Mentzer

What is the unique identifier code issued to Kip Tyler Mentzer by the Centers for Medicare & Medicaid Services (CMS)?

The Kip Tyler Mentzer has been assigned the NPI (National Provider Identifier) 1518131374. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Kip Tyler Mentzer located?

The Kip Tyler Mentzer is located at 2918 N 69Th St, Milwaukee, WI 532101215.

What is the area of specialization for Kip Tyler Mentzer, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kip Tyler Mentzer is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.

On what date was the 1518131374 assigned to Kip Tyler Mentzer?

The Kip Tyler Mentzer was issued its 1518131374 on 2008-04-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Kip Tyler Mentzer last refreshed?

The information related to the Kip Tyler Mentzer, including its address, specialty, and other relevant details, was last updated on 2011-09-15.

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