Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY R EDISON, MD
ActiveTIMOTHY R EDISON, MD is a Gastroenterology healthcare provider located in NEENAH, Wisconsin. NPI 1861425902 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · NEENAH, WI
Registration Details
- NPI Number
- 1861425902
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 9, 2006 (20.126052022889 yrs)
- Last Updated
- Oct 30, 2018
- Licenses
-
036078276 (IL)37531 (WI)
Practice Information
- Address
-
100 THEDA CLARK MEDICAL PLZ STE 400NEENAH, WI, 549562763Browse WI providers · Browse ZIP 54956
- Phone
- 9207254527
- Fax
- 9207292378
- Primary Specialty
-
Gastroenterology
207RG0100X
- Additional Specialty
- Gastroenterology
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.