Deering, Timothy A Mical

Deering, Timothy A Mical is an individual health care provider with primary practice located at 2977 County Road Cx , Portage WI 53901-9271. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Deering, Timothy A Mical can be contacted via phone (608) 355-3800.

Contact Information

Primary practice address
2977 County Road Cx Portage WI 53901-9271
Phone: (608) 355-3800
Fax: (608) 355-7485
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 41341-020 Wisconsin

Profile Details

NPI number 1578513982
LBN Legal business name Deering, Timothy A Mical
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jan 4th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578513982 NPPES
Wisconsin MEDICAID 1578513982

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