Individual
DR. TIMOTHY JOSEPH RIDOLFI
Active
Individual
DR. TIMOTHY JOSEPH RIDOLFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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