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Search › Wisconsin › Family Medicine Physician

Timothy Wallace, D.O

NPI 1275725384 · on the registry since 2007

Practice

Address
855 N Westhaven Dr
Oshkosh, WI 54904
Phone
(920) 303-8700
Fax
(920) 303-8832
Organisation at this address
Lakeside Neurocare
Aurora Pharmacy Inc
Aurora Medical Group Inc
Aurora Medical Group, Inc.
Aurora Medical Center Of Oshkosh, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
347

Registry record

Primary taxonomy
Family Medicine Physician
207Q00000X
Also registered as
Family Medicine Physician
Family Medicine Physician
Licence states on file
PA, SC, WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-04-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin