Individual
DR. TIMOTHY B RASOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
N1750 LILY OF THE VALLEY DR, GREENVILLE, WI 54942-9044
(920) 757-5170
(920) 757-6589
Mailing address
N1750 LILY OF THE VALLEY DR, GREENVILLE, WI 54942-9044
(920) 757-5170
(920) 757-6589
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27767-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30791200
—
WI
Enumeration date
06/23/2006
Last updated
10/30/2015
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