Individual
TIMOTHY A DEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
1401 E STATE ST, ROCKFORD, IL 61104-2315
(414) 290-6720
(414) 290-6755
Mailing address
111 E WISCONSIN AVE, SUITE 2000, MILWAUKEE, WI 53202-4815
(414) 290-6720
(414) 290-6755
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209008913
IL
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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