Individual
DR. RICHARD J TIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
744 S WEBSTER AVE, 2ND FLOOR, GREEN BAY, WI 54301-3505
(920) 433-3640
(920) 433-3716
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
34292-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31908900
—
WI
Enumeration date
06/06/2006
Last updated
02/11/2016
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