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Individual
DR. TIMOTHY MICHAEL DANNEMILLER
Active
Individual
DR. TIMOTHY MICHAEL DANNEMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J5152
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140932
CHIPS PROVIDER NUMBER
TX
01
—
151966100
FIRST CARE PROVIDER #
TX
05
—
180860201
—
TX
01
—
8G4222
BLUE CROSS PROV #
TX
Enumeration date
07/10/2006
Last updated
07/31/2023
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