Timothy M Wallace, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1720013121

Timothy M Wallace, MD is an Anatomic Pathology & Clinical Pathology Physician in Summit, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in: WI
In the registry since: 2006

What do these letters mean?

MD — Doctor of Medicine: A physician who completed allopathic medical school.

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Practice location Address checks out

36500 Aurora Dr
Summit, WI 53066-4899
Phone: (262) 434-3741
Fax: (262) 434-3702

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary)	Taxonomy 207ZP0102X · Licence 41030 (WI)

Record details

NPI number	1720013121
Entity type	Individual (Type 1)
Gender	Male
Credentials	MD
Sole proprietor	No
NPI enumerated	July 12, 2006
Last updated in NPPES	December 30, 2021
Certification date	December 30, 2021
Mailing address	8901 W Lincoln Ave, West Allis, WI 53227-2409