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Contact Information

TIMOTHY A HARBST, MD
1836 SOUTH AVE
LA CROSSE, WI54601-5429
 Phone: 608-782-7300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

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

NPI Number 1225033830
Status Active
Credentials MD
Entity Individual
Enumeration date 06/20/2005
Last updated 04/04/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 26793
  • WI Medicaid 31405700
Hospital affiliation(s)
  • GUNDERSEN LUTH MED CTR - (Acute Care)
    1910 SOUTH AVE
    LA CROSSE, WI 54601
  • GUNDERSEN LUTH MED CTR - (Acute Care)
    1910 SOUTH AVE
    LA CROSSE, WI 54601
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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