Myles David Tonnacliff


Address: W62n248 Washington Ave, Suite 208, Cedarburg, WI 53012-2768

Myles David Tonnacliff (NPI# 1942335260, PAC ID# 3577669753) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1942335260
PAC ID by PECOS 3577669753
Professional Enrollment ID I20070504000046
Full Name Myles David Tonnacliff
Address W62n248 Washington Ave
Suite 208
Cedarburg
WI 53012-2768
Gender M
Graduation Year 1996
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment M

Other Locations

Address Phone Organization
W62n248 Washington Ave, Suite 208, Cedarburg, WI 53012-2768

Organization Information

Office Location

Street Address W62N248 WASHINGTON AVE
SUITE 208
City CEDARBURG
State WI
Zip 53012-2768

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Competitor

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City CEDARBURG
Zip Code 53012
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty CEDARBURG + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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