Wassenaar, Timothy R
Wassenaar, Timothy R is an individual health care provider with primary practice located at N16W24131 Riverwood Dr , Waukesha WI 53188-1106. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Wassenaar, Timothy R can be contacted via phone (262) 696-5690.Contact Information
Primary practice address
N16W24131 Riverwood Dr
Waukesha WI 53188-1106
Phone: (262) 696-5690
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 46327 | Wisconsin |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 46327 | Wisconsin |
Profile Details
| NPI number | 1518928993 |
|---|---|
| LBN Legal business name | Wassenaar, Timothy R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Jan 10th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518928993 | NPPES |
| Wisconsin | MEDICAID | 34691700 |
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