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Tyler Wishau
Foot & Ankle Surgery Podiatrist in Mount Vernon, Illinois
NPI 1144649856

Tyler Wishau is a Foot & Ankle Surgery Podiatrist based in Saint Louis, IL and is specialized in Foot & Ankle Surgery. Tyler Wishau practices in Mount Vernon, IL. The NPI Number for Tyler Wishau is 1144649856 and holds a License No. 016005806 (Illinois).

The current practice location address for Tyler Wishau is 2 Good Samaritan Way Ste 420, Mount Vernon, IL and can be reached out via phone at 618-899-3900. You can also correspond with Tyler Wishau through the mailing address at PO BOX 955860, SAINT LOUIS, MO - 63195-2588 (mailing address contact number: 636-498-5944).

Location: 2 Good Samaritan Way Ste 420, Mount Vernon, IL, 63195-2588
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144649856
Provider Name
Tyler Wishau
Credential
Provider Entity Type
Individual
Gender
Male
Address
2 Good Samaritan Way Ste 420, Mount Vernon, IL, 63195-2588
Phone Number
618-899-3900
Fax Number
Provider Enumeration Date
04/09/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2 Good Samaritan Way Ste 420
City
Mount Vernon
State
Illinois
Zip
62864-2478
Phone Number
618-899-3900
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 955860
City
Saint Louis
State
Missouri
Zip
63195-2588
Phone Number
636-498-5944
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
016005806 (Illinois)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
016005806 (Illinois)
Definition
Definition to come...
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