Tanritai Wyllie, M.D.

NPI #1598938912 in Oak Creek, Wisconsin

Provider Information

NPI Number: 1598938912
Entity Type: Individual
Name: Tanritai Wyllie, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Apr 7, 2008
Last Updated: Jun 23, 2014

Practice Location

Address: 8375 S HOWELL AVE
City: Oak Creek
State: Wisconsin
ZIP Code: 53154-8344
Phone: (414) 764-5726

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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