Individual
TIMOTHY S RAICHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1531 S MADISON ST, APPLETON, WI 54915-1800
(920) 730-4413
Mailing address
2955 TRIVERTON PIKE DR, FITCHBURG, WI 53711
(608) 227-7007
(608) 227-7027
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
42657
WI
Other
Enumeration date
10/07/2005
Last updated
11/09/2010
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