Individual
TODD C PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(608) 785-0940
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0002
(608) 785-0940
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
42655
WI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
42655
WI
Other
Enumeration date
06/01/2005
Last updated
12/06/2021
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