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Organization

TIMOTHY G MCAVOY MD SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TIMOTHY GERARD MCAVOY M.D. (PRESIDENT)
(262) 547-0000
Entity
Organization

Contact information

Practice address
1751 E MAIN ST, WAUKESHA, WI 53186-3940
(262) 547-0000
(262) 547-0157
Mailing address
1751 E MAIN ST, WAUKESHA, WI 53186-3940
(262) 547-0000
(262) 547-0157

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22122
WI

Other

Enumeration date
04/20/2007
Last updated
12/28/2009
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