Individual
TIMOTHY D MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792
(808) 263-4757
(608) 262-6453
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
31724
WI
Other
Enumeration date
04/12/2006
Last updated
03/13/2009
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