Wogahn, Timothy P

Wogahn, Timothy P is an individual health care provider with primary practice located at 2031 Peach St , Wisconsin Rapids WI 54494-5181. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wogahn, Timothy P can be contacted via phone (715) 423-0122.

Contact Information

Primary practice address
2031 Peach St Wisconsin Rapids WI 54494-5181
Phone: (715) 423-0122
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 39775 Wisconsin

Profile Details

NPI number 1780696948
LBN Legal business name Wogahn, Timothy P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Dec 4th, 2012 - about 13 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 1780696948 NPPES
Wisconsin MEDICAID 32434800

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