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Individual

DR. TIMOTHY ROBERT SHARPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1111 LINDEN DR, HOLMEN, WI 54636-9527
(608) 526-9693
Mailing address
19676 BLUFFVIEW PL, GALESVILLE, WI 54630-7272
(608) 582-2498

Taxonomy

Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
2346
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38836500
WI
Enumeration date
12/13/2006
Last updated
07/09/2007
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