Individual
DR. TIM CHRISTOPHER LEVENHAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34700 VALLEY RD, OCONOMOWOC, WI 53066-4500
(800) 767-4411
(262) 646-7067
Mailing address
34700 VALLEY RD, OCONOMOWOC, WI 53066-4500
(800) 767-4411
(262) 646-7067
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
33398020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32189000
—
WI
Enumeration date
12/09/2005
Last updated
09/18/2009
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