person
Dr. Vicki Lynn Taylor
General Practice Physician in Wauwatosa, Wisconsin
NPI 1902981913

Vicki Lynn Taylor is a General Practice Physician based in Wauwatosa, WI. Vicki Lynn Taylor practices in Wauwatosa, WI. The NPI Number for Vicki Lynn Taylor is 1902981913 and holds a License No. 21533 (Wisconsin).

The current practice location address for Vicki Lynn Taylor is 11803 W North Ave, Wauwatosa, WI and can be reached out via phone at 414-258-5522 and via fax at 414-258-1337.

Location: 11803 W North Ave, Wauwatosa, WI, 53226
person
Provider Profile Details
NPI Number
1902981913
Provider Name
Vicki Lynn Taylor
Credential
Provider Entity Type
Individual
Gender
Female
Address
11803 W North Ave, Wauwatosa, WI, 53226
Phone Number
414-258-5522
Fax Number
414-258-1337
Provider Enumeration Date
10/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30016800 05 WI
AT1151175 01 BND#
institution
Provider Business Practice Location Address Details
Address
11803 W North Ave
City
State
Zip
53226
Phone Number
414-258-5522
Fax Number
414-258-1337
person
Provider Business Mailing Address Details
Address
11803 W North Ave
City
State
Zip
53226
Phone Number
414-258-5522
Fax Number
414-258-1337
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
21533 (Wisconsin)
Definition
Definition to come...
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