Individual
DR. TIMOTHY C. ROMANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 STEWART AVE STE 100, WAUSAU, WI 54401-3948
(715) 907-0911
(715) 803-6815
Mailing address
3901 STEWART AVE STE 100, WAUSAU, WI 54401-3948
(715) 907-0911
(715) 803-6815
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35425-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
250009625
RAILROAD MEDICARE
WI
05
—
32001600
—
WI
01
—
35887
SECURITY HEALTH PLAN
WI
01
—
391941056015
BLUE CROSS
WI
Enumeration date
08/31/2006
Last updated
08/16/2022
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