Timothy J Corgan (NPI# 1790731743, PAC ID# 0547272403) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1790731743 |
| PAC ID by PECOS | 0547272403 |
| Professional Enrollment ID | I20060615000302 |
| Full Name | Timothy J Corgan |
| Address |
716 Pierce Ave Marinette WI 54143-1810 |
| Gender | M |
| Credential | OD |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 1996 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 716 Pierce Ave, Marinette, WI 54143-1810 |
| Street Address |
716 PIERCE AVE |
| City | MARINETTE |
| State | WI |
| Zip | 54143-1810 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John P Briody | Obstetrics/gynecology | 3900 Hall Ave, Suite H, Marinette, WI 54143-1062 | |
| William E Bourgeois | Optometry | 1507 Main St, Marinette, WI 54143-1301 | |
| Steven Lee Nottleson | Optometry | 1545 Main St, Marinette, WI 54143-1334 | |
| Andrea B Knowlton | Clinical Social Worker | County of Marinette | 2500 Hall Ave A, Marinette, WI 54143-1656 |
| Guy E Powers | Psychiatry | County of Marinette | 2500 Hall Ave, Suite A, Marinette, WI 54143-1656 |
| Bryanne E Fountain | Clinical Social Worker | County of Marinette | 2500 Hall Ave, Suite A, Marinette, WI 54143-1656 |
| Deanna J Brown | Clinical Social Worker | County of Marinette | 2500 Hall Ave, Suite A, Marinette, WI 54143-1656 |
| Lucas J Hurzeler | Clinical Social Worker | County of Marinette | 2500 Hall Ave, Suite A, Marinette, WI 54143-1656 |
| Melissa Anne Freeman | Clinical Social Worker | County of Marinette | 2500 Hall Ave A, Marinette, WI 54143-1656 |
| Mary Campbell | Clinical Social Worker | County of Marinette | 2500 Hall Ave A, Marinette, WI 54143-1656 |
| Find all physicians in zip 54143 | |||
| City | MARINETTE |
| Zip Code | 54143 |
| Specialty | OPTOMETRY |
| City + Specialty | MARINETTE + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.