Healthcare Provider Details

I. General information

NPI: 1750389649
Provider Name (Legal Business Name): TIMOTHY WAYNE STREMMEL D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2005
Last Update Date: 02/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 E 10TH ST
ANNISTON AL
36207-4756
US

IV. Provider business mailing address

708 E 10TH ST
ANNISTON AL
36207-4756
US

V. Phone/Fax

Practice location:
  • Phone: 256-238-9991
  • Fax: 256-238-9931
Mailing address:
  • Phone: 256-238-9991
  • Fax: 256-238-9931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number178
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number178
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: