DR. Tyler Wolcott Fitch, M.D.

NPI #1992068936 in Peoria, Illinois

Provider Information

NPI Number: 1992068936
Entity Type: Individual
Name: DR. Tyler Wolcott Fitch, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jun 22, 2012
Last Updated: Jun 22, 2012

Practice Location

Address: 530 NE GLEN OAK AVE
City: Peoria
State: Illinois
ZIP Code: 61637-0001
Phone: (309) 655-3863

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Pediatrics	208000000X

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