Individual
DR. TIMOTHY JAMES MCREATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1210 DRAPER ST, BARABOO, WI 53913-1230
(608) 356-2151
Mailing address
1210 DRAPER ST, P.O. BOX 21, BARABOO, WI 53913-1230
(608) 356-2151
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4280-015
WI
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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