Dr. Timothy Joseph Ridolfi, M.D.
Colon & Rectal Surgery in Milwaukee, WI. Individual provider (NPI-1).
NPI number1023190386
StatusActive
Last updated in NPPESJan 10, 2014
Details
- NPI
- 1023190386
- Entity type
- Individual (NPI-1)
- Name
- Dr. Timothy Joseph Ridolfi
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 19, 2006
- Last updated
- Jan 10, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208C00000X | Colon & Rectal Surgery | 50126 | WI | Yes |
| 208600000X | Surgery | 50126-020 | WI |
Practice location
9200 W Wisconsin AveDept Of Surgery - Division Of Colorectal Surgery
Milwaukee, WI 53226-3522
Phone 414-805-5783 · Fax 414-454-0152
Mailing address
9200 W Wisconsin AveDept Of Surgery - Division Of Colorectal Surgery
Milwaukee, WI 53226-3522
Phone 414-805-5783 · Fax 414-454-0152
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