Individual
DR. TIMOTHY JOHN CREAMER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1801 W WISCONSIN AVE, MILWAUKEE, WI 53233-2186
(414) 288-6171
Mailing address
13185 BURLAWN CT, BROOKFIELD, WI 53005-3373
(262) 373-0591
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5421-015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33769900
—
WI
Enumeration date
05/03/2006
Last updated
07/08/2007
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