Individual
TIMOTHY P MILLEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 53RD AVE, SUITE 100, BETTENDORF, IA 52722-7564
(563) 322-0971
(563) 324-0615
Mailing address
2300 53RD AVE, SUITE 100, BETTENDORF, IA 52722-7564
(563) 322-0971
(563) 324-0615
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
036075860
IL
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
28751
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084335
—
IA
01
—
041993
HEALTH ALLIANCE
—
01
—
15561
MIDLANDS CHOICE
—
01
—
1602944
FIRST HEALTH
—
01
—
19769
IA HEALTH SOLUTIONS
—
01
—
200029104
RR MEDICARE
—
01
—
57863
WELLMARK
IA
01
—
58096
WELLMARK
IA
01
—
8121085
BCBS
IL
01
—
IA0144
JOHN DEERE FAMILY
IA
01
—
T80827
JOHN DEERE FAMILY
IA
Enumeration date
01/06/2006
Last updated
03/18/2011
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