Individual
TIMOTHY L CHAMBERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-4740
(920) 288-4737
Mailing address
8901 WEST LINCOLN AVENUE, WEST ALLIS, WI 53227-2477
(414) 328-7950
(414) 328-8505
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
37792
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32258100
—
WI
Enumeration date
07/12/2006
Last updated
12/09/2021
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