Tyler Douglas
Case Manager/Care Coordinator in Madison, WI. Individual provider (NPI-1).
NPI number1194288902
StatusActive
Last updated in NPPESApr 9, 2019
Details
- NPI
- 1194288902
- Entity type
- Individual (NPI-1)
- Name
- Tyler Douglas
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 9, 2019
- Last updated
- Apr 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
802 E Gorham StMadison, WI 53703-1524
Phone 608-445-3275
Mailing address
25 Kessel Ct Ste 105Madison, WI 53711-6227
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All 202 Case Manager/Care Coordinator providers in Madison · All 16,750 providers in Madison
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