Individual provider · Type 1 NPI

Tyler Cole Gorman, PA-C

Medical Physician Assistant · Fitchburg, WI

NPI number 1184082893 Active

Practice location

3034 Fish Hatchery Rd
Fitchburg, WI 53713-3125

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0110-005221 (VA)
Medical Physician Assistant Primary 363AM0700X5689 (WI)

Medical Physician Assistant: Definition to come...

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About NPI 1184082893

Tyler Cole Gorman, PA-C's National Provider Identifier is 1184082893, issued on Feb 9, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fitchburg, WI. The record was last updated on Feb 8, 2022.