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Contact Information

TIMOTHY A FAGRE, MD
1565 ALLOUEZ AVE
GREEN BAY, WI54311
 Phone: 920-468-2400
 Fax: 920-468-2428
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for TIMOTHY A FAGRE · (Male)

NPI Number 1093821829
Status Active
Credentials MD
Entity Individual
Enumeration date 08/22/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 39660
  • WI Medicaid 32854200
Hospital affiliation(s)
  • AURORA BAYCARE MED CTR - (Acute Care)
    2845 GREENBRIER RD
    GREEN BAY, WI 54311
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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