Individual
TIMOTHY DONALD BEVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2532
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38594400
—
WI
Enumeration date
05/12/2006
Last updated
06/25/2024
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