Individual
DR. TIMOTHY M FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-0001
(843) 792-2322
Mailing address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 772-7344
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
74555-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2018
Last updated
06/22/2022
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