| Timothy G Mcavoy Md Sc | |
|
1751 E Main St Waukesha WI 53186-3940 | |
| (262) 547-0000 | |
| (262) 547-0157 |
| Full Name | Timothy G Mcavoy Md Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1751 E Main St, Waukesha, Wisconsin |
| Authorized Official Name and Position | Timothy Gerard Mcavoy (PRESIDENT) |
| Authorized Official Contact | 2625470000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy G Mcavoy Md Sc 1751 E Main St Waukesha WI 53186-3940 Ph: (262) 547-0000 | Timothy G Mcavoy Md Sc 1751 E Main St Waukesha WI 53186-3940 Ph: (262) 547-0000 |
| NPI Number | 1386861102 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 12/28/2009 |
| Medicare PECOS PAC ID | 9739356999 |
|---|---|
| Medicare Enrollment ID | O20120111000903 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386861102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 22122 (Wisconsin) | Primary |
| Provider Name | Timothy Mcavoy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396792255 PECOS PAC ID: 6800063066 Enrollment ID: I20120111000945 |
| Provider Name | Amanda E Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093207094 PECOS PAC ID: 2466704564 Enrollment ID: I20181017001714 |
| Provider Name | Kieran E Mcavoy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316407372 PECOS PAC ID: 0840626123 Enrollment ID: I20230707002853 |
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