Individual
DR. TIMOTHY FREDERIC BOERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, ATC
Contact information
Practice address
8701 WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
(414) 955-0991
Mailing address
PO BOX 1881, MILWAUKEE, WI 53201-1881
(414) 288-6256
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
096.003134
IL
2255A2300X
Athletic Trainer
Primary
2028-39
WI
Other
Enumeration date
11/20/2011
Last updated
12/22/2021
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