# TIMOTHY G MCAVOY MD SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386861102
- **Authorized official:** DR. TIMOTHY GERARD MCAVOY M.D. (PRESIDENT)
- **Authorized official phone:** (262) 547-0000

## Contact information

- **Practice address:** 1751 E MAIN ST, WAUKESHA, WI 53186-3940
- **Practice address phone:** (262) 547-0000
- **Practice address fax:** (262) 547-0157
- **Mailing address:** 1751 E MAIN ST, WAUKESHA, WI 53186-3940
- **Mailing address phone:** (262) 547-0000
- **Mailing address fax:** (262) 547-0157

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 22122 | WI | Yes |

## Other

- **Enumeration date:** 04/20/2007
- **Last updated:** 12/28/2009