Timothy A Mical Deering, MD Valid NPI

Individual provider · Family Medicine Physician · Portage, WI

NPI

1578513982

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

41341-020 (WI)

Sex

Male

Sole proprietor

No

Enumerated

2006-05-10

Last updated

2021-01-04