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1114950326
TIMM SCOTT MISSBACH
GREEN BAY, WI
NPI
1114950326
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: WI 38166)
Enumeration Date
2006-07-09
Last Update Date
2014-02-27
Business Address
-- TIMM SCOTT MISSBACH MD
1630 COMMANCHE AVE
GREEN BAY, WI 54313-6089
Phone number: 920-430-4585
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Mailing Address
-- TIMM SCOTT MISSBACH MD
1630 COMMANCHE AVE
GREEN BAY, WI 54313-6089
Phone number: 920-430-4585
Copy
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