Individual
TIMOTHY W LINEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1881 CHICAGO ST, DE PERE, WI 54115-3770
(920) 403-8000
(920) 403-8209
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
45572
MN
2084P0800X
Psychiatry Physician
Primary
62869
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35207500
—
WI
05
—
363680100
—
MN
Enumeration date
12/29/2005
Last updated
06/02/2025
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