Dr TYLER MARSHALL PROUT MD is a male medical professional, specializing in Diagnostic Radiology. He graduated in 1997 from University Of Iowa College Of Medicine.
FORT HEALTHCARE INC
512 WILCOX ST
FORT ATKINSON
WI
535381254
Tel: 9205637366
| Npi | 1003864125 |
| Pac Id | 2961413372 |
| Professional Enrollment Id | I20060524000161 |
| Last Name | PROUT |
| First Name | TYLER |
| Middle Name | MARSHALL |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | FORT HEALTHCARE INC |
| Group Practice Pac Id | 0840189718 |
| Number Of Group Practice Members | 97 |
| Line 1 Street Address | 512 WILCOX ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | FORT ATKINSON |
| State | WI |
| Zip Code | 535381254 |
| Phone Number | 9205637366 |
| Hospital Affiliation Ccn 1 | 520089 |
| Hospital Affiliation Lbn 1 | MERITER HOSPITAL |
| Hospital Affiliation Ccn 2 | 520109 |
| Hospital Affiliation Lbn 2 | MILE BLUFF MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 520098 |
| Hospital Affiliation Lbn 3 | UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY |
| Hospital Affiliation Ccn 4 | 520071 |
| Hospital Affiliation Lbn 4 | FORT MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 5 | 521341 |
| Hospital Affiliation Lbn 5 | RICHLAND HOSPITAL |
| Professional Accepts Medicare Assignment | Y |
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