Individual
DR. TIMOTHY GREENWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3666
(262) 560-1579
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3666
(262) 560-1579
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
4301506128
MI
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
82832
WI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
4301115084
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
82832
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003301318
—
WI
Enumeration date
06/28/2018
Last updated
11/21/2023
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