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Mr. Kip Tyler Mentzer, MD
Family Medicine Physician in Port Washington, Wisconsin
NPI 1518131374

Kip Tyler Mentzer is a Family Medicine Physician based in Port Washington, WI. Kip Tyler Mentzer practices in Port Washington, WI and has the professional credentials of MD. The NPI Number for Kip Tyler Mentzer is 1518131374 and holds a License No. 54515-20 (Wisconsin).

The current practice location address for Kip Tyler Mentzer is 115 N Sweetwater Blvd, Port Washington, WI and can be reached out via phone at 920-476-6400.

Location: 115 N Sweetwater Blvd, Port Washington, WI, 53074-2657
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518131374
Provider Name
Kip Tyler Mentzer
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
115 N Sweetwater Blvd, Port Washington, WI, 53074-2657
Phone Number
920-476-6400
Fax Number
Provider Enumeration Date
04/14/2008
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
115 N Sweetwater Blvd
City
Port Washington
State
Wisconsin
Zip
53074-2657
Phone Number
920-476-6400
Fax Number
person
Provider Business Mailing Address Details
Address
115 N Sweetwater Blvd
City
Port Washington
State
Wisconsin
Zip
53074-2657
Phone Number
920-476-6400
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
54515-20 (Wisconsin)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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