# TIMOTHY RAYMOND GRAUPMANN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1134157290
- **Gender:** Man
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 3893 | MN | Yes |

## Other

- **Enumeration date:** 06/29/2006
- **Last updated:** 06/23/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 074K4GR | BLUECROSS/BLUESHIELD | MN |
| 01 | — | 4400388 | MEDICA | MN |
| 05 | — | 596228500 | — | MN |