Search › Wisconsin › 207Q00000X
Timothy Hubbard, D.O
NPI 1568523389 · on the registry since 2006
Practice
- Address
- 4400 Sheridan Rd
Kenosha, WI 53140 - Phone
- (262) 652-5454
- Fax
- (262) 652-5732
- Organisation at this address
- Shorewood Family Medical Clinic S.C.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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