Ridolfi, Timothy Joseph

Ridolfi, Timothy Joseph is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Dept Of Surgery - Division Of Colorectal Surgery, Milwaukee WI 53226-3522. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Ridolfi, Timothy Joseph can be contacted via phone (414) 805-5783.

Contact Information

Primary practice address
9200 W Wisconsin Ave Dept Of Surgery - Division Of Colorectal Surgery Milwaukee WI 53226-3522
Phone: (414) 805-5783
Fax: (414) 454-0152
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 50126-020 Wisconsin
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 50126 Wisconsin

Profile Details

NPI number 1023190386
LBN Legal business name Ridolfi, Timothy Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Jan 10th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023190386 NPPES
Wisconsin MEDICAID 1023190386

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