Individual
MR. TIMOTHY P WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.N.
Contact information
Practice address
4093 W COLLEGE AVE, MILWAUKEE, WI 53221-4544
(414) 421-0543
Mailing address
4093 W COLLEGE AVE, MILWAUKEE, WI 53221-4544
(414) 421-0543
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
WI
Other
Enumeration date
01/18/2008
Last updated
01/18/2008
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