Timm Scott Missbach, MD - Pediatrics in Green Bay, WI

Timm Scott Missbach, MD is a Pediatrics physician based in Green Bay, Wisconsin. Timm Scott Missbach is licensed to practice in Wisconsin (license number 38166) and his current practice location is 1630 Commanche Ave, Green Bay, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (920) 430-4585.

NPI number for Timm Scott Missbach is 1114950326 and his current mailing address is 1630 Commanche Ave, Green Bay, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114950326.

Contact Information

Timm Scott Missbach, MD
1630 Commanche Ave,
Green Bay, WI 54313-6089
(920) 430-4585
Not Available

Map and Direction




Physician's Profile

Full NameTimm Scott Missbach
GenderMale
SpecialityPediatrics
Location1630 Commanche Ave, Green Bay, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114950326
  • Provider Enumeration Date: 07/09/2006
  • Last Update Date: 02/27/2014

Medical Identifiers

Medical identifiers for Timm Scott Missbach such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114950326NPI-NPPES
32284100MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 38166 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Timm Scott Missbach is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Timm Scott Missbach, MD
1630 Commanche Ave,
Green Bay, WI 54313-6089

Ph: (920) 430-4585
Timm Scott Missbach, MD
1630 Commanche Ave,
Green Bay, WI 54313-6089

Ph: (920) 430-4585

Reviews and Comments


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