Individual
TIMOTHY RYAN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 WIND RIDGE DR, WAUSAU, WI 54401-4149
(715) 675-3391
Mailing address
425 WIND RIDGE DR, WAUSAU, WI 54401-4149
(715) 675-3391
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
LL82558
SC
Other
Enumeration date
04/03/2017
Last updated
06/29/2026
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