Individual
MS. N TIMOTHY LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1155 N MAYFAIR RD, SPINE CARE CLINIC AT PLANK ROAD, MILWAUKEE, WI 53226-3421
(414) 955-0110
(414) 955-7199
Mailing address
1155 N MAYFAIR RD, SPINE CARE CLINIC AT PLANK ROAD, MILWAUKEE, WI 53226-3421
(414) 955-0110
(414) 955-7199
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
577
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000125D
HUMANA
—
05
—
1912945064
—
WI
Enumeration date
06/02/2006
Last updated
02/07/2013
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