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Contact Information

TISA A AYUSO, DO
8915 W CONNELL AVE
MILWAUKEE, WI53226-3067
 Phone: 414-266-2932
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for TISA A AYUSO · (Female)

NPI Number 1851629448
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 11/20/2009
Last updated 07/02/2025 - About 11 months ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 048692
  • MN License # 73136
  • WI License # 2706-321
  • CT Medicaid 004041000
  • CT Medicaid 004082260
  • CT Medicaid 008001325
  • CT Medicaid 008003745
  • CT Medicaid 008022622
  • CT Medicaid 008022626
  • CT Medicaid 008039241
  • CT Medicaid 008039745
Hospital affiliation(s)
  • GREENWICH HOSPITAL ASSOCIATION - (Acute Care)
    5 PERRYRIDGE RD
    GREENWICH, CT 06830
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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