Individual
TIMOTHY M NISPEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 W MARSHALL ST STE 107, RICE LAKE, WI 54868-2742
(727) 804-2145
Mailing address
12 W MARSHALL ST STE 107, RICE LAKE, WI 54868-2742
(727) 804-2145
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8990
—
WI
Enumeration date
09/20/2021
Last updated
09/20/2021
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