NPI 1003864125

Tyler M Prout, MD

Practitioner Diagnostic Radiology Physician Madison, WI

Practice location

Address: 600 Highland Ave, Madison, WI 53792-0001
Phone: (608) 263-8340
Fax: (608) 265-6533
Mailing address: 7974 Uw Health CT, Middleton, WI 53562-5531

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 48471 (WI)

Other Radiology providers in Wisconsin →

Registry record

NPI: 1003864125
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 May 2006
Record last updated: 27 May 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.