Timm, Fred

Timm, Fred is an individual health care provider with primary practice located at 8651 W North Ave , Wauwatosa WI 53226-2721. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Timm, Fred can be contacted via phone (414) 774-9200.

Contact Information

Primary practice address
8651 W North Ave Wauwatosa WI 53226-2721
Fax: (414) 774-9031
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 23889-020 Wisconsin

Profile Details

NPI number 1467419077
LBN Legal business name Timm, Fred
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Jul 8th, 2007 - about 18 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 1467419077 NPPES
Wisconsin MEDICAID 30499600

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