KIP TYLER MENTZER

WAUWATOSA, WI
NPI1518131374
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  54515-20)
Enumeration Date2008-04-14
Last Update Date2011-09-15
Business Address
Mr. KIP TYLER MENTZER M.D.
201 N MAYFAIR RD
WAUWATOSA, WI 53226-4216
Phone number: 414-771-8228
Mailing Address
Mr. KIP TYLER MENTZER M.D.
2918 N 69TH ST
MILWAUKEE, WI 53210-1215
Phone number: 419-674-6590
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