Wishau, Tyler

Wishau, Tyler is an individual health care provider with primary practice located at 2 Good Samaritan Way Ste 420 , Mount Vernon IL 62864-2478. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Wishau, Tyler can be contacted via phone (618) 899-3900.

Contact Information

Primary practice address
2 Good Samaritan Way Ste 420 Mount Vernon IL 62864-2478
Phone: (618) 899-3900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016005806 Illinois
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016005806 Illinois

Profile Details

NPI number 1144649856
LBN Legal business name Wishau, Tyler
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2014
Last updated Feb 22nd, 2022 - about 4 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.

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