Individual
FRED TIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8651 W NORTH AVE, WAUWATOSA, WI 53226-2721
(414) 774-9200
(414) 774-9031
Mailing address
8651 W NORTH AVE, WAUWATOSA, WI 53226-2721
(414) 774-9200
(414) 774-9031
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23889-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30499600
—
WI
Enumeration date
04/27/2006
Last updated
07/08/2007
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