Individual
TIMOTHY G WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5900 S LAKE DR, CUDAHY, WI 53110-3171
(414) 489-9000
(414) 489-4153
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
29774
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31842500
—
WI
Enumeration date
08/16/2006
Last updated
06/24/2014
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