Timmerman, Mark G

Timmerman, Mark G is an individual health care provider with primary practice located at 436 Sunrise Dr , Spring Green WI 53588-9286. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Timmerman, Mark G can be contacted via phone (608) 588-2502.

Contact Information

Primary practice address
436 Sunrise Dr Spring Green WI 53588-9286
Phone: (608) 588-2502
Fax: (608) 588-7724
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 31402-020 Wisconsin
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 31402-020 Wisconsin

Profile Details

NPI number 1881649333
LBN Legal business name Timmerman, Mark G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Apr 29th, 2008 - 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 1881649333 NPPES
Wisconsin MEDICAID 31648300
Wisconsin Other P00463755

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