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Tyler Wishau
NPI 1144649856 · on the registry since 2014
Practice
- Address
- 2 Good Samaritan Way Ste 420
Mount Vernon, IL 62864 - Phone
- (618) 899-3900
- Organisation at this address
- Good Samaritan Regional Health Center
Surgical Associates Of Mt Vernon, Ltd
Physicians Surgery Center At Good Samaritan, Llc
Sleep & Neurology Center Of Southern Illinois, Llc
Anesthesia Associates Of Southern Illinois Surgery Center LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 39
Additional practice sites
- 12303 Depaul Dr., Bridgeton, MO
Registry record
- Primary taxonomy
- 213ES0103X
213ES0103X
- Also registered as
- 213E00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-02-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois