Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK G TIMMERMAN, MD
ActiveMARK G TIMMERMAN, MD is a Sports Medicine healthcare provider located in SPRING GREEN, Wisconsin. NPI 1881649333 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · SPRING GREEN, WI
Registration Details
- NPI Number
- 1881649333
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2006 (20.047524618437 yrs)
- Last Updated
- Apr 29, 2008
- Licenses
-
31402-020 (WI)31402-020 (WI)
Practice Information
- Address
-
436 SUNRISE DRSPRING GREEN, WI, 535889286Browse WI providers · Browse ZIP 53588
- Phone
- 6085882502
- Fax
- 6085887724
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
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.