Individual
DR. TIMOTHY S REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 N WASHINGTON ST, JANESVILLE, WI 53548-1561
(608) 741-6799
Mailing address
1010 N WASHINGTON ST, JANESVILLE, WI 53548-1561
(608) 741-6799
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41610
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32595000
—
WI
Enumeration date
01/17/2007
Last updated
11/16/2009
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