Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY RAYMOND GENGEMBRE, PA-C
ActiveTIMOTHY RAYMOND GENGEMBRE, PA-C is a Physician Assistant healthcare provider located in ELM GROVE, Wisconsin. NPI 1831354075 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ELM GROVE, WI
Registration Details
- NPI Number
- 1831354075
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2008 (18.047804416371 yrs)
- Last Updated
- Aug 20, 2025
- License
-
245-023 (WI)
Practice Information
- Address
-
1650 PILGRIM PKWYELM GROVE, WI, 531221531Browse WI providers · Browse ZIP 53122
- Phone
- 2623668985
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ELM GROVE, WI
| Name | Credential | NPI |
|---|---|---|
| KRISTIN N TROST | PA | 1336450949 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.