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General NPI Number Information
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NPI Number | 1780038851
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Entity Type | Individual
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Provider Name | TYLER QIU MD
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Gender | Male
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Dates
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Enumeration Date | 04/14/2016
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 3400 MINISTRY PKWY
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City | WESTON
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State | WI
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Zip | 54476-5220
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Country | US
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Telephone | 715-393-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 1550 E ROYALL PL UNIT 606
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City | MILWAUKEE
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State | WI
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Zip | 53202-1871
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Country | US
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Telephone | 847-609-1416
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 70085
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License Number State | WI
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