Tyler Wellhausen

NPI #1326203480 in Mcloud, Oklahoma

Provider Information

NPI Number
1326203480
Entity Type
Individual
Name
Tyler Wellhausen
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Jul 28, 2008
Last Updated
Jul 28, 2008

Practice Location

Address
409 N HWY 102
City
Mcloud
ZIP Code
74851
Phone
(405) 964-2081

Specialties & Taxonomy Codes

Specialty
Pharmacist

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