BRIGHAM TYLER WELLS

NORTH CHICAGO, IL
NPI1912735192
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  13826251-1206)
Enumeration Date2024-07-22
Last Update Date2024-07-31
Business Address
BRIGHAM TYLER WELLS PA-C
3410 ILLINOIS ST
NORTH CHICAGO, IL 60088-3120
Phone number: 224-610-3886
Mailing Address
BRIGHAM TYLER WELLS PA-C
10881 SEASONS PL APT 204
PLEASANT PRAIRIE, WI 53158-1340
Phone number: 385-223-7433
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