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General NPI Number Information
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NPI Number | 1063848364
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Entity Type | Individual
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Provider Name | TIMOTHY E WIRSCHING APNP
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Gender | Male
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Dates
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Enumeration Date | 09/18/2013
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Last Update Date | 09/18/2013
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Provider Practice Location Address
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Address Line | 5015 W BURLEIGH ST
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City | MILWAUKEE
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State | WI
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Zip | 53210-1662
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Country | US
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Telephone | 414-447-2221
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Fax | 414-874-4507
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Provider Business Mailing Address
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Address Line | 5015 W BURLEIGH ST
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City | MILWAUKEE
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State | WI
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Zip | 53210-1662
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Country | US
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Telephone | 414-447-2221
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5474
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License Number State | WI
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