Tyler W Vitzthum (NPI# 1245686997, PAC ID# 9638432826) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
Nation Provider ID (NPI) | 1245686997 |
PAC ID by PECOS | 9638432826 |
Professional Enrollment ID | I20180423001540 |
Full Name | Tyler W Vitzthum |
Address |
5024 Green Bay Rd Suite 100 Kenosha WI 53144-1702 |
Gender | M |
Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
Graduation Year | 2016 |
Primary Specialty | CHIROPRACTIC |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
5024 Green Bay Rd, Suite 100, Kenosha, WI 53144-1702 |
Street Address |
5024 GREEN BAY RD SUITE 100 |
City | KENOSHA |
State | WI |
Zip | 53144-1702 |
Name | Specialty | Organization | Address |
---|---|---|---|
Anna M Bedogne | Chiropractic | Bedogne Chiropractic LLC | 5024 Green Bay Rd, Suite 100, Kenosha, WI 53144-1702 |
Sontino R Bedogne | Chiropractic | Bedogne Chiropractic LLC | 5024 Green Bay Rd, Suite 100, Kenosha, WI 53144-1702 |
Name | Specialty | Organization | Address |
---|---|---|---|
David L Graziano | Physical Therapy | Dpt Holdings LLC | 3825 39th Ave, Suite 110, Kenosha, WI 53144 |
Doni B Davis | Chiropractic | 1711 Green Bay Rd, Suite C, Kenosha, WI 53144-1209 | |
Cynthia Malvitz Overly | Optometry | Myeyedr Optometry of Wisconsin LLC | 2305 30th Ave, Kenosha, WI 53144-1411 |
Jeffrey R Thomas | Optometry | Myeyedr Optometry of Wisconsin LLC | 2305 30th Ave, Kenosha, WI 53144-1411 |
Randall J Paye | Optometry | Myeyedr Optometry of Wisconsin LLC | 2305 30th Ave, Kenosha, WI 53144-1411 |
Dave A Ziegler | Optometry | Myeyedr Optometry of Wisconsin LLC | 2305 30th Ave, Kenosha, WI 53144-1411 |
Donna M Brunello | Optometry | Myeyedr Optometry of Wisconsin LLC | 2305 30th Ave, Kenosha, WI 53144-1411 |
Nicole R Casady | Nurse Practitioner | Hcr Manor Care Medical Services of Florida LLC | 3100 Washington Rd, Kenosha, WI 53144-1604 |
Vincent P Savaglio | Ophthalmology | 3535 30th Ave, Suite 102, Kenosha, WI 53144-1632 | |
William A Yoder | Podiatry | 3535 30th Ave, Suite 203, Kenosha, WI 53144-1632 | |
Find all physicians in zip 53144 |
City | KENOSHA |
Zip Code | 53144 |
Specialty | CHIROPRACTIC |
City + Specialty | KENOSHA + CHIROPRACTIC |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.