Tyler Thao
NPI #1114670635 in Brown Deer, Wisconsin
Provider Information
- NPI Number
- 1114670635
- Entity Type
- Individual
- Name
- Tyler Thao
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Feb 3, 2022
- Last Updated
- Apr 21, 2022
Practice Location
- Address
- 8714 N 68TH ST
- City
- Brown Deer
- State
- Wisconsin
- ZIP Code
- 53223-2725
- Phone
- (530) 552-0996
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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