Individual
DR. TIMOTHY JOSEPH RIDOLFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, DEPT OF SURGERY - DIVISION OF COLORECTAL SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-5783
(414) 454-0152
Mailing address
9200 W WISCONSIN AVE, DEPT OF SURGERY - DIVISION OF COLORECTAL SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-5783
(414) 454-0152
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
50126-020
WI
208C00000X
Colon & Rectal Surgery Physician
Primary
50126
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023190386
—
WI
Enumeration date
10/19/2006
Last updated
01/10/2014
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