Individual
DR. TIM DANIEL MARSHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8651 W NORTH AVE, WAUWATOSA, WI 53226-2721
(414) 774-9200
(414) 774-9031
Mailing address
8651 W NORTH AVE, WAUWATOSA, WI 53226-2721
(414) 774-9200
(414) 774-9031
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036121303
IL
208000000X
Pediatrics Physician
Primary
52955
WI
Other
Enumeration date
06/14/2008
Last updated
05/02/2013
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