Individual
DR. TIMOTHY JAMES WIDHALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
609 O ST, AURORA, NE 68818-1100
(402) 694-3191
(402) 694-2146
Mailing address
609 O ST, AURORA, NE 68818-1100
(402) 694-3191
(402) 694-2146
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18331
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0117
BCBS NUMBER
NE
Enumeration date
08/03/2006
Last updated
02/17/2021
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