Individual
DR. TIMOTHY KEVIN TOUGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1301 E NORTHLAND AVE, SUITE B, APPLETON, WI 54911-8582
(920) 731-1999
(920) 731-3729
Mailing address
1301 E NORTHLAND AVE STE B, APPLETON, WI 54911-8582
(920) 731-1999
(920) 731-3729
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
604-025
WI
213ES0103X
Foot & Ankle Surgery Podiatrist
604-025
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
391776284013
BLUE CROSS BLUE SHIELD
WI
05
—
43222200
—
WI
Enumeration date
06/22/2005
Last updated
03/07/2023
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