Timm Scott Missbach in Green Bay - Pediatrics
Timm Scott Missbach - NPI 1114950326
Timm Scott Missbach is a Pediatrics in Green Bay, Wisconsin. Timm Scott Missbach practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Timm Scott Missbach is 1114950326. The last update date is 2014-02-27.
Timm Scott Missbach's current location address is 1630 Commanche Ave, Green Bay, Wisconsin. You can contact this provider via phone number 9204304585. The mailing address for Timm Scott Missbach is 1630 Commanche Ave, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timm Scott Missbach |
|---|---|
| Address | 1630 Commanche Ave, Green Bay, Wisconsin |
| Phone Number | 9204304585 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1114950326 |
|---|---|
| Provider Enumeration Date | 2006-07-09 |
| Last Updated Date | 2014-02-27 |
Provider Mailing Address Detail
| Address | 1630 Commanche Ave |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543136089 |
| Phone Number | 9204304585 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 38166 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32284100 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Timm Scott Missbach by the Centers for Medicare & Medicaid Services?
The Timm Scott Missbach has been issued the NPI (National Provider Identifier) 1114950326 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Timm Scott Missbach?
The Timm Scott Missbach is situated at 1630 Commanche Ave, in the city of Green Bay, state of WI, with the zip code 543136089.
What is the Timm Scott Missbach's specialty and taxonomy code?
The Timm Scott Missbach's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114950326 to Timm Scott Missbach?
The Centers for Medicare & Medicaid Services originally issued the 1114950326 to Timm Scott Missbach on 2006-07-09.
As of what date were the details related to Timm Scott Missbach most recently updated or revised?
The information pertaining to Timm Scott Missbach, including its address, specialty, and other relevant details, was last updated or revised on 2014-02-27.
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