Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tyler Douglas

Individual provider Case Manager/Care Coordinator · NPI 1194288902

Tyler Douglas is a Case Manager/Care Coordinator in Madison, Wisconsin. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

802 E Gorham St
Madison, WI 53703-1524
Phone: (608) 445-3275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1194288902
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 9, 2019
Last updated in NPPESApril 9, 2019
Mailing address25 Kessel Ct Ste 105, Madison, WI 53711-6227

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