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1003864125
TYLER M PROUT
MADISON, WI
NPI
1003864125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: WI 48471)
Enumeration Date
2006-05-04
Last Update Date
2009-05-27
Business Address
-- TYLER M PROUT MD
600 HIGHLAND AVE
MADISON, WI 53792-0001
Phone number: 608-263-8340
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Mailing Address
-- TYLER M PROUT MD
7974 UW HEALTH CT
MIDDLETON, WI 53562-5531
Phone number:
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