Individual
TIMOTHY J MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
N2950 STATE ROAD 67, LAKE GENEVA, WI 53147-2655
(262) 245-0535
(262) 245-2248
Mailing address
N2950 STATE ROAD 67, LAKE GENEVA, WI 53147-2655
(262) 245-0535
(262) 245-2248
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
47374-020
WI
207P00000X
Emergency Medicine Physician
47374-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104887470
—
WI
01
—
MURRATIM
MERCYCARE INSURANCE
WI
Enumeration date
03/28/2006
Last updated
01/22/2015
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