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Individual
TIMOTHY R EDISON
Active
Individual
TIMOTHY R EDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
036078276
IL
207RG0100X
Gastroenterology Physician
Primary
37531
WI
Other
Enumeration date
07/09/2006
Last updated
06/29/2026
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