Individual
DR. TIMOTHY JOHN SKALAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5798
(504) 899-3496
(504) 896-9849
Mailing address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(330) 256-7271
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4301108205
MI
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
327829
LA
390200000X
Student in an Organized Health Care Education/Training Program
4301108205
MI
Other
Enumeration date
05/23/2015
Last updated
10/28/2021
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