Timothy Behrens, M.D.

Individual provider Active NPI Ph.D. Medical Genetics · Fox Point, WI

NPI 1871024042 · NPPES record last updated Mar 21, 2017

Key facts

NPI
1871024042
Entity type
Individual (NPI type 1)
Primary specialty
Ph.D. Medical Genetics 170100000X
License
35900 (MN)
Practice address
7200 N Beach Dr
Fox Point, WI 53217-3659
Phone
(650) 243-8269
NPI assigned
Mar 21, 2017
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35900MNMDPh.D. Medical Genetics

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical Genetics 170100000X 35900 MN Yes

Addresses

Primary practice location

7200 N Beach Dr
Fox Point, WI 53217-3659

Mailing address

7200 N Beach Dr
Fox Point, WI 53217-3659
Phone (650) 243-8269

Other providers in Fox Point, WI

All providers in Fox Point, WI · Ph.D. Medical Genetics in Wisconsin

Sources for this page

Verify at the official NPI Registry.