person
Timothy R Wallace, DO
Family Medicine Physician in Oshkosh, Wisconsin
NPI 1275725384

Timothy R Wallace is a Family Medicine Physician based in Oshkosh, WI. Timothy R Wallace practices in Oshkosh, WI and has the professional credentials of DO. The NPI Number for Timothy R Wallace is 1275725384 and holds a License No. 1195 (Wisconsin).

The current practice location address for Timothy R Wallace is 855 N Westhaven Dr, Oshkosh, WI and can be reached out via phone at 920-303-8700 and via fax at 920-303-8832.

Location: 855 N Westhaven Dr, Oshkosh, WI, 54904-7668
person
Provider Profile Details
NPI Number
1275725384
Provider Name
Timothy R Wallace
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
855 N Westhaven Dr, Oshkosh, WI, 54904-7668
Phone Number
920-303-8700
Fax Number
920-303-8832
Provider Enumeration Date
08/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1195 01 SC MEDICAL LICENSE
60032-021 01 WI MEDICAL LICENSE
OS013436 01 PA LICENSE
011953 05 SC
institution
Provider Business Practice Location Address Details
Address
855 N Westhaven Dr
City
State
Zip
54904-7668
Phone Number
920-303-8700
Fax Number
920-303-8832
person
Provider Business Mailing Address Details
Address
855 N Westhaven Dr
City
State
Zip
54904-7668
Phone Number
920-303-8700
Fax Number
920-303-8832
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
1195 (South Carolina)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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