Individual
DR. TIMOTHY JOHN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9000 W WISCONSIN AVE, SUITE 265, MILWAUKEE, WI 53226-4874
(414) 266-2761
(414) 266-2766
Mailing address
9000 W WISCONSIN AVE, SUITE 265, MILWAUKEE, WI 53226-4874
(414) 266-2761
(414) 266-2761
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
46335-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427137132
—
WI
Enumeration date
11/03/2006
Last updated
03/04/2024
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