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NPI Code Detail

MEDICARE: DR. TIMOTHY EDWARD MCROBERTS DC

MEDICARE: DR. TIMOTHY EDWARD MCROBERTS DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor03755-012WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437116993
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIMOTHY EDWARD MCROBERTS DC
Provider Business Mailing Address
First Line : 1960 RANGE TRL
Second Line :
City : VERONA
State : WI
Zip : 53593-9359
Country : US
Telephone Number : 608-848-0723
Fax Number : 608-848-0059
Provider Business Practice Location Address
First Line : 951 KIMBALL LANE
Second Line : SUITE 122
City : VERONA
State : WI
Zip : 53593-9122
Country : US
Telephone Number : 608-848-0058
Fax Number : 608-848-0059
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2006
Last Update Date : 12/06/2016

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Directions to “ DR. TIMOTHY EDWARD MCROBERTS DC” Practice Location

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