Timm Scott Missbach
MD | Pediatrics | Male
Timm Scott Missbach, MD is a Green Bay, Wisconsin based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Timm Scott Missbach is
1630 Commanche Ave, Green Bay, Wisconsin - 54313-6089. He can be contacted on phone at
920-430-4585.
Timm Scott Missbach is a sole proprietor of his business.
NPI number (Unique professional ID) for Timm Scott Missbach is
1114950326 which was assigned by NPPES on 09 Jul, 2006 and it was last updated on 27 Feb, 2014.
Timm Scott Missbach license number is
38166 for Pediatrics (208000000X) in Wisconsin.
Timm Scott Missbach is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Timm Scott Missbach basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Timm Scott Missbach |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Timm Scott Missbach address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1630 Commanche Ave
Green Bay, WI, 54313-6089
United States |
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| Phone Number : | 920-430-4585 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1114950326 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 09 Jul, 2006 |
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| Last Updated On : | 27 Feb, 2014 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Timm Scott Missbach are as mentioned. Primary taxonomy code for Timm Scott Missbach, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 38166 | WI |
Legacy Identifiers:
Other legacy medical identifiers of Timm Scott Missbach such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 32284100 | MEDICAID | WI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1630 Commanche Ave
Green Bay, WI, 54313-6089
United States |
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| Phone Number : | 920-430-4585 |
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Business Location:
Patients can refer following map for directions to
Timm Scott Missbach practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.