Individual
DR. TIMOTHY W WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2901 W KINNICKINNIC RIVER PKWY STE 315, MILWAUKEE, WI 53215
(414) 385-2590
Mailing address
2901 W KINNICKINNIC RIVER PKWY STE 315, MILWAUKEE, WI 53215-3660
(414) 385-2590
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
28453-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050031225
RAIL ROAD MEDICARE
—
05
—
31393000
—
WI
Enumeration date
12/02/2005
Last updated
12/06/2021
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