| Tyler Joseph Smith, PA-C | |
|
1120 Main St, Union Grove, WI 53182-1328 | |
| (262) 878-4424 | |
| Not Available |
| Full Name | Tyler Joseph Smith |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 1120 Main St, Union Grove, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295568723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 8089-23 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Joseph Smith, PA-C 1911 N Emmertsen Rd, Mount Pleasant, WI 53406-2613 Ph: () - | Tyler Joseph Smith, PA-C 1120 Main St, Union Grove, WI 53182-1328 Ph: (262) 878-4424 |
Amanda B Strom, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1120 Main St, Union Grove, WI 53182 Phone: 262-878-4424 | |
Mrs. Margaret E Baker, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1120 Main St, Union Grove, WI 53182 Phone: 262-878-4424 Fax: 262-631-8591 |