Individual
DR. TIMOTHY ERIK GUNDLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-2000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
33876-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144200205
—
WI
Enumeration date
01/17/2006
Last updated
09/15/2025
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