NPI 1902981913

Vicki Lynn Taylor

Practitioner General Practice Physician Wauwatosa, WI

Practice location

Address: 11803 W North Ave, Wauwatosa, WI 53226
Phone: (414) 258-5522
Fax: (414) 258-1337

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 21533 (WI)

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Registry record

NPI: 1902981913
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Oct 2006
Record last updated: 8 Jul 2007

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.