Wallenfang, Tyler Jerome

Wallenfang, Tyler Jerome is an individual health care provider with primary practice located at 1350 W College Ave , Appleton WI 54914-4974. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Wallenfang, Tyler Jerome can be contacted via phone (920) 739-9232.

Contact Information

Primary practice address
1350 W College Ave Appleton WI 54914-4974
Phone: (920) 739-9232
Fax: (920) 739-5813
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 14922-40 Wisconsin

Profile Details

NPI number 1225217136
LBN Legal business name Wallenfang, Tyler Jerome
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2007
Last updated Apr 10th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers