Timothy R Wallace in Oshkosh - Family Medicine
Timothy R Wallace - NPI 1275725384
Timothy R Wallace is a Family Medicine in Oshkosh, Wisconsin. Timothy R Wallace practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Timothy R Wallace is 1275725384. The last update date is 2021-12-06.
Timothy R Wallace's current location address is 855 N Westhaven Dr, Oshkosh, Wisconsin. You can contact this provider via phone number 9203038700 and fax number 9203038832. The mailing address for Timothy R Wallace is 855 N Westhaven Dr, Oshkosh, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy R Wallace |
|---|---|
| Address | 855 N Westhaven Dr, Oshkosh, Wisconsin |
| Phone Number | 9203038700 |
| Fax Number | 9203038832 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1275725384 |
|---|---|
| Provider Enumeration Date | 2007-08-13 |
| Last Updated Date | 2021-12-06 |
Provider Mailing Address Detail
| Address | 855 N Westhaven Dr |
|---|---|
| City | Oshkosh |
| State | Wisconsin (WI) |
| Post Code | 549047668 |
| Phone Number | 9203038700 |
| Fax Number | 9203038832 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 1195 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1195 | SC | MEDICAL LICENSE | |
| 60032-021 | WI | MEDICAL LICENSE | |
| OS013436 | PA | LICENSE | |
| 11953 | SC | -- |
Post Comment/ Review Below
What is the Timothy R Wallace's 1275725384?
The Timothy R Wallace's NPI (National Provider Identifier) Number is 1275725384. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Timothy R Wallace is geographically located?
The Timothy R Wallace is physically situated at the following location: 855 N Westhaven Dr, Oshkosh, WI, 549047668.
What is the Timothy R Wallace's area of specialization and corresponding taxonomy classification?
The Timothy R Wallace's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
When did the Timothy R Wallace receive its 1275725384?
The Timothy R Wallace was issued its 1275725384 on 2007-08-13, which is the date when the organization was assigned this unique identifier.
When was the information related to Timothy R Wallace most recently updated or refreshed?
The details pertaining to the Timothy R Wallace, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-12-06.
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