| Dr R Timothy Fitzner, MD | |
|
900 College Ave W, Ladysmith, WI 54848-2116 | |
| (715) 532-5561 | |
| (715) 532-9809 |
| Full Name | Dr R Timothy Fitzner |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 900 College Ave W, Ladysmith, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740237999 | NPI | - | NPPES |
| 34072000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 37610 (Wisconsin) | Primary |
| Entity Name | Prairie Du Chien Memorial Hospital Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619024197 PECOS PAC ID: 4981698537 Enrollment ID: O20040414001308 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr R Timothy Fitzner, MD 62741 Hillview Ct, Prairie Du Chien, WI 53821-8835 Ph: (608) 326-4583 | Dr R Timothy Fitzner, MD 900 College Ave W, Ladysmith, WI 54848-2116 Ph: (715) 532-5561 |
Andrey Mironenko, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 Port Arthur Rd, Ladysmith, WI 54848 Phone: 715-532-2300 | |
Allen S. Hanson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 906 College Ave W, Ladysmith, WI 54848 Phone: 715-532-2300 | |
Kristin E Verville, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 900 College Ave W, Ladysmith, WI 54848 Phone: 715-532-2300 | |
Mohammed Dodwad, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 900 College Ave W, Ladysmith, WI 54848 Phone: 715-532-5561 Fax: 715-532-9809 | |
Inimfon Udoh, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 Port Arthur Rd, Ladysmith, WI 54848 Phone: 715-532-5561 |