Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TIMOTHY J. KIETZMAN, M.D.
ActiveDR. TIMOTHY J. KIETZMAN, M.D. is a 207WX0109X healthcare provider located in WHEATON, Illinois. NPI 1952689705 is currently active in the NPPES registry. Verify at CMS.
207WX0109X · WHEATON, IL
Registration Details
- NPI Number
- 1952689705
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2011 (15.072973270179 yrs)
- Last Updated
- Aug 21, 2024
- Licenses
-
036.073602 (IL)036.073602 (IL)
Practice Information
- Address
-
2015 N MAIN STWHEATON, IL, 601873152Browse IL providers · Browse ZIP 60187
- Phone
- 6306688250
- Primary Specialty
-
207WX0109X
207WX0109X
- Additional Specialty
- 207WX0109X
Other 207WX0109X Providers in WHEATON, IL
| Name | Credential | NPI |
|---|---|---|
| DR. EVAN B PRICE | MD | 1477780310 |
| ERIC L CASKEY | — | 1558892729 |
| KIMBERLY DIANE BLANKSHAIN | MD | 1801328125 |
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.