National Provider Identifier Database

TIMOTHY R EDISON, MD – NPI #1861425902
Gastroenterology

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.


Contact Information

TIMOTHY R EDISON, MD
200 THEDA CLARK MEDICAL PLZ
NEENAH, WI54956-2721
Phone: 920-720-6440
Fax: 920-993-5093
Website:
Specialty Taxonomy Code
* Gastroenterology 207RG0100X

* Indicates primary specialty

NPI Profile & details for TIMOTHY R EDISON

NPI Number 1861425902
Credentials MD
Entity Individual
Enumeration date 07/09/2006
Last updated 03/23/2026 - About 2 months ago
Sole proprietor1 No
Identifiers
  • IL License #: 036078276
  • WI License #: 37531
  • WI Medicaid: 32235600
Hospital affiliation n/a

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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