Individual provider · Type 1 NPI
Michael K. Tyriver, PA
Medical Physician Assistant · La Crosse, WI
NPI number
1033110499
Active
Practice location
1836 South Ave
La Crosse, WI 54601-5429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 1907 (WI) |
Medical Physician Assistant: Definition to come...
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About NPI 1033110499
Michael K. Tyriver, PA's National Provider Identifier is 1033110499, issued on Aug 9, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in La Crosse, WI. The record was last updated on Nov 16, 2017.