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Contact Information

TIMOTHY M AXE, DPM
3200 E RACINE ST
JANESVILLE, WI53546-2343
 Phone: 608-371-8000
 Fax: 607-371-8933
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for TIMOTHY M AXE · (Male)

NPI Number 1619932621
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 04/20/2006
Last updated 10/28/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 906-025
  • WI Medicaid 1619932621
  • WI Medicaid 43239200
  • WI Other 60436 DEAN HEALTH INSURANCE
Hospital affiliation(s)
  • ST MARYS JANESVILLE HOSPITAL - (Acute Care)
    3400 EAST RACINE STREET
    JANESVILLE, WI 53546
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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