Individual
DR. TIMOTHY D. TISHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2596 S. BAY SHORE DR., SISTER BAY, WI 54234
(920) 854-6556
(920) 854-6559
Mailing address
2596 S BAY SHORE DR, SISTER BAY, WI 54234-9157
(920) 854-6556
(920) 854-6559
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019-021598
IL
1223G0001X
General Practice Dentistry
Primary
6623-015
WI
Other
Enumeration date
06/27/2005
Last updated
03/15/2012
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