Timothy Raymond Gengembre, PA-C

NPI #1831354075 in Elm Grove, Wisconsin

Provider Information

NPI Number: 1831354075
Entity Type: Individual
Name: Timothy Raymond Gengembre, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 28, 2008
Last Updated: Aug 20, 2025

Practice Location

Address: 1650 PILGRIM PKWY
City: Elm Grove
State: Wisconsin
ZIP Code: 53122-1531
Phone: (262) 366-8985

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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