Individual
DR. TIMOTHY LAWRENCE SMYKAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, FACO, CCSP
Contact information
Practice address
N96W18743 COUNTY LINE RD, SUITE E, MENOMONEE FALLS, WI 53051-7100
(262) 253-6779
(262) 253-6849
Mailing address
N96W18743 COUNTY LINE RD, SUITE E, MENOMONEE FALLS, WI 53051-7100
(262) 253-6779
(262) 253-6849
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3243
WI
111NS0005X
Sports Physician Chiropractor
3243
WI
111NX0800X
Orthopedic Chiropractor
3243
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38888200
—
WI
Enumeration date
07/17/2005
Last updated
04/23/2008
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