Tara Michelle Wyley

NPI #1073320602 in Lakeville, Minnesota

Provider Information

NPI Number: 1073320602
Entity Type: Individual
Name: Tara Michelle Wyley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Dec 17, 2024
Last Updated: Mar 21, 2025

Practice Location

Address: 17489 DODD BLVD
City: Lakeville
State: Minnesota
ZIP Code: 55044-6506
Phone: (952) 428-1020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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