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NPI Code Detail

MEDICARE: DR. TIMOTHY WADE CASIAS M.D.

MEDICARE:  DR. TIMOTHY WADE CASIAS  M.D.
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
1208VP0000XPain Medicine Physician67450WI
2207L00000XAnesthesiology Physician67450WI
3207LP2900XPain Medicine (Anesthesiology) Physician67450WI
4208000000XPediatrics Physician2010027316MO

General Provider Information

NPI Number : 1356579726
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIMOTHY WADE CASIAS M.D.
Provider Business Mailing Address
First Line : 4910 AUGUSTA DR
Second Line :
City : MIDDLETON
State : WI
Zip : 53597-8822
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4910 AUGUSTA DR
Second Line :
City : MIDDLETON
State : WI
Zip : 53597-8822
Country : US
Telephone Number : 303-884-1699
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2009
Last Update Date : 08/10/2021

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Directions to “ DR. TIMOTHY WADE CASIAS M.D.” Practice Location

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