Individual
DR. TIMOTHY DALE BARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
104 E SUMMIT AVE, WALES, WI 53183-9724
(262) 968-5212
(262) 968-5214
Mailing address
104 E SUMMIT AVE, WALES, WI 53183-9724
(262) 968-5212
(262) 968-5214
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2526
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
391673814011
BLUE CROSS
WI
Enumeration date
05/27/2006
Last updated
08/02/2011
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