NPI 1023385937
Timothy Frederic Boerger, PHDATC
Practice location
- Address
- 8701 Watertown Plank Rd, Milwaukee, WI 53226-3548
- Phone
- (414) 955-0991
- Mailing address
- PO Box 1881, Milwaukee, WI 53201-1881
Registered specialties (2)
Athletic Trainer
Primary
Athletic Trainer
Registry record
- NPI
- 1023385937
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 20 Nov 2011
- Record last updated
- 22 Dec 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.