DR. Tim C Kisabeth, MD

NPI #1851384796 in Jerseyville, Illinois

Provider Information

NPI Number: 1851384796
Entity Type: Individual
Name: DR. Tim C Kisabeth, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Obstetrics & Gynecology
Credential: MD
Enumeration Date: Aug 25, 2005
Last Updated: Nov 13, 2024

Practice Location

Address: 270 MAPLE SUMMIT RD
City: Jerseyville
State: Illinois
ZIP Code: 62052
Phone: (618) 498-4166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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