Tyler Kenneth Liebenstein

NPI #1992093124 in Madison, Wisconsin

Provider Information

NPI Number: 1992093124
Entity Type: Individual
Name: Tyler Kenneth Liebenstein
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jul 21, 2011
Last Updated: Jul 21, 2011

Practice Location

Address: 600 HIGHLAND AVE
Address 2: MC 2433
City: Madison
State: Wisconsin
ZIP Code: 53792-1530
Phone: (608) 662-0817

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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