MEDICARE: DR. JARED HYLTON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	67285	WI
2	207L00000X	Anesthesiology Physician	67285	WI

General Provider Information

NPI Number	:	1245559509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JARED HYLTON M.D.

Provider Business Mailing Address
First Line	:	829 WALTER RUN
Second Line	:
City	:	WAUNAKEE
State	:	WI
Zip	:	53597-9290
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	829 WALTER RUN
Second Line	:
City	:	WAUNAKEE
State	:	WI
Zip	:	53597-9290
Country	:	US
Telephone Number	:	530-515-8820
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2010
Last Update Date	:	02/16/2024

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