Individual
TIMOTHY J MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
700 S PARK ST, DEAN MEDICAL CENTER, MADISON, WI 53715-1830
(608) 251-6100
Mailing address
700 S PARK ST, DEAN MEDICAL CENTER, MADISON, WI 53715-1830
(608) 251-6100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
439-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42918600
—
WI
Enumeration date
05/05/2006
Last updated
05/01/2015
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