Timothy Louis Gendron (NPI# 1316968985, PAC ID# 8224039110) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1316968985 |
| PAC ID by PECOS | 8224039110 |
| Professional Enrollment ID | I20191003002304 |
| Full Name | Timothy Louis Gendron |
| Organization Legal Name | REFRESH MIDWEST OPERATIONS, SC |
| Address |
2201 Jack Breault Dr Hudson WI 54016-4547 |
| Phone Number | 7156298300 |
| Gender | M |
| Credential | MD |
| Medical School | MAYO MEDICAL SCHOOL |
| Graduation Year | 1995 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 6103153093 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1334 Hosford St, Suite B, Hudson, WI 54016-9230 | 7153811980 | REFRESH MIDWEST OPERATIONS, SC |
| 2201 Jack Breault Dr, Hudson, WI 54016-4547 | 7156298300 | REFRESH MIDWEST OPERATIONS, SC |
| Organization Legal Name | REFRESH MIDWEST OPERATIONS, SC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey P Holmgren | Psychiatry | Refresh Midwest Operations, Sc | 2201 Jack Breault Dr, Hudson, WI 54016-4547 |
| Bradley G Nevins | Psychologist, Clinical | Refresh Midwest Operations, Sc | 1301 Coulee Rd, Suite 102, Hudson, WI 54016-2160 |
| Street Address |
2201 JACK BREAULT DR |
| City | HUDSON |
| State | WI |
| Zip | 54016-4547 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey P Holmgren | Psychiatry | Refresh Midwest Operations, Sc | 2201 Jack Breault Dr, Hudson, WI 54016-4547 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Krohn | Chiropractic | 113 2nd St, Hudson, WI 54016-1503 | |
| John Patrick Lee | Optometry | Ritzinger Optometric Clinic Sc | 211 2nd St, Hudson, WI 54016-1505 |
| Leah A Burton | Psychologist, Clinical | Collaborative Counseling, LLC | 901 4th St, Hudson, WI 54016-1681 |
| Mary B Patterson | Clinical Social Worker | Collaborative Counseling, LLC | 901 4th St, Hudson, WI 54016-1681 |
| Heidi A Schulz | Physical Therapy | Catalyst Institute Us LLC | 2211 Vine St, Hudson, WI 54016-1899 |
| James W Matheson | Physical Therapy | Catalyst Institute Us LLC | 2211 Vine St, Hudson, WI 54016-1899 |
| Bradley G Nevins | Psychologist, Clinical | Refresh Midwest Operations, Sc | 1301 Coulee Rd, Suite 102, Hudson, WI 54016-2160 |
| Danielle T Dabruzzi | Chiropractic | Pathways Family Chiropractic, Inc. | 86 Coulee Rd, Suite 200, Hudson, WI 54016-2395 |
| Lynn A Winkel | Chiropractic | Pathways Family Chiropractic, Inc. | 86 Coulee Rd, Suite 200, Hudson, WI 54016-2395 |
| Michele J Nemerow | Chiropractic | Pathways Family Chiropractic, Inc. | 86 Coulee Rd, Suite 200, Hudson, WI 54016-2395 |
| Find all physicians in zip 54016 | |||
| City | HUDSON |
| Zip Code | 54016 |
| Specialty | PSYCHIATRY |
| City + Specialty | HUDSON + PSYCHIATRY |
Please comment or provide details below to improve the information on Timothy Louis Gendron.
| 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.