Search › Wisconsin › 1223G0001X
Timothy Bouressa, D.D.S
NPI 1922296466 · on the registry since 2007
Practice
- Address
- 500 W 3rd St
Pob 96
Kimberly, WI 54136 - Phone
- (920) 788-4201
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-10-10
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