Individual
MR. TIMOTHY WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
KCSA
Contact information
Practice address
1945 SCOTTSVILLE RD, B2 PMB 137, BOWLING GREEN, KY 42104-3376
(270) 781-4828
(270) 781-4828
Mailing address
1945 SCOTTSVILLE RD STE B2, BOWLING GREEN, KY 42104-5836
(270) 782-0434
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA040
KY
Other
Enumeration date
01/12/2007
Last updated
08/20/2012
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