Individual provider · Type 1 NPI

Timothy R. Wallace, DO

Family Medicine Physician · Oshkosh, WI

NPI number 1275725384 Active

Practice location

855 N Westhaven Dr
Oshkosh, WI 54904-7668

Call (920) 303-8700 Map

Fax (920) 303-8832

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XOS013436 (PA)
Family Medicine Physician 207Q00000X1195 (SC)
Family Medicine Physician Primary 207Q00000X60032 (WI)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1275725384

Timothy R. Wallace, DO's National Provider Identifier is 1275725384, issued on Aug 13, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Oshkosh, WI. The record was last updated on Apr 9, 2025.