Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KIP TYLER MENTZER, M.D.
ActiveMR. KIP TYLER MENTZER, M.D. is a Family Medicine healthcare provider located in PORT WASHINGTON, Wisconsin. NPI 1518131374 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PORT WASHINGTON, WI
Registration Details
- NPI Number
- 1518131374
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 14, 2008 (18.349115889138 yrs)
- Last Updated
- Sep 19, 2024
- License
-
54515-20 (WI)
Practice Information
- Address
-
115 N SWEETWATER BLVDPORT WASHINGTON, WI, 530742657Browse WI providers · Browse ZIP 53074
- Phone
- 9204766400
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in PORT WASHINGTON, WI
| Name | Credential | NPI |
|---|---|---|
| JOHN P BONAVIA | MD | 1497716880 |
| WILLIAM L HALL | M.D. | 1992747091 |
| MARK R FITZSIMMONS | MD | 1639284706 |
| TEDMOND R O'REILLY | MD | 1851408231 |
| SCOT A WILFONG | DO | 1306953278 |
| STEPHANIE M MAVES | MD | 1003925629 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.