Kresowik, Timothy P

Kresowik, Timothy P is an individual health care provider with primary practice located at 3319 Spring St , Davenport IA 52807-2125. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Kresowik, Timothy P can be contacted via phone (563) 359-1641.

Contact Information

Primary practice address
3319 Spring St Davenport IA 52807-2125
Phone: (563) 359-1641
Fax: (563) 359-4634
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 40027 Iowa
Allopathic & Osteopathic Physicians / Urology 208800000X R-7811 Iowa

Profile Details

NPI number 1831308840
LBN Legal business name Kresowik, Timothy P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Oct 1st, 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 1831308840 NPPES
Iowa Other 07364 BLUE CROSS BLUE SHIELD
Iowa Other 91338 BLUE CROSS BLUE SHIELD
Iowa MEDICAID 0904060 BLUE CROSS BLUE SHIELD
Iowa MEDICAID 0073643 BLUE CROSS BLUE SHIELD

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