Michael R. Timm PAC
Physician Assistant in St Paul, MN(View on Map)
Full Name
Michael R Timm PAC
NPI Number
1245202399
NPI Type
Individual Provider
Gender
Male
Enumeration Date
02/03/2006
Specialties
(Taxonomies)Licenses
State
Minnesota
License Number
9878
Contact
Information
Purpose
Mailing
Location
Address
8100 34TH AVE S
640 JACKSON ST
City
Bloomington
St Paul
State
MN
MN
Postal Code
55425-1672
55101-2502
Country
US
US
Telephone Number
(952) 883-5463
(651) 254-5701
Identifiers
Identifier
660159600
Identifier State
MN
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/13/2015