| Provider / Organization | NPI | Date Certified |
|---|---|---|
| TIMOTHY C WYLIE | 1457770703 | 2022-12-04 |
Timothy Wylie [M] graduated in 2014 and primarily specializes in Podiatry.
Timothy C Wylie is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1457770703. Registration indicates Timothy C Wylie is a provider of services with a specialization in Foot & Ankle Surgery (Podiatrist) (Podiatric Medicine & Surgery Service Providers, Podiatrist) (Podiatrist: Foot & Ankle Surgery, ) (Podiatry, ) (Podiatrist Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers) (Podiatrist, )
| PECOS ID | 547547028 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:N |
| Entity Type | Individual |
| Provider Name | Timothy C Wylie DPM |
| Practice Office Address | 10475 READING RD STE 308 CINCINNATI, OH US |
| Practice Office Telephone | 5135637755 |
| Practice Office Fax | 5135630768 |
| Mailing Address | 32743 23 MILE RD STE 210 CHESTERFIELD, MI 480472176 US |
| Business Telephone | 7084243201 |
| Business Fax | 7084245001 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 11560 Springfield Pike | Cincinnati, OH 452463527 | 5138517700 / 5138511046 |
| 2123 Auburn Ave Ste 722 | Cincinnati, OH 452192906 | 5135637755 / 5135630768 |
| 425 Walnut St Ste 200 | Cincinnati, OH 452023942 | 5135637755 / 5135630768 |
| Code | Practice | License No State |
|---|---|---|
| 213ES0103X PRIMARY | Foot & Ankle Surgery (Podiatrist), Podiatric Medicine & Surgery Service Providers Podiatrist Podiatrist: Foot & Ankle Surgery Podiatry Podiatrist Foot & Ankle Surgery Podiatric Medicine & Surgery Service Providers Podiatrist | 36003793
OH |