Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 26185 | WI |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 26185 | WI |
NPI | 1043203540 |
---|---|
Provider Name | Timothy F. Steinmetz |
First Address | River Falls, WI 54022-1571 |
Second Address | River Falls, WI 54022-1571 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2005 |
Last Update Date | 03/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
30758500 | (05) | WI |