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Individual
DR. TIMOTHY BURTON MACLIN
Active
Individual
DR. TIMOTHY BURTON MACLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
165
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0657650001
DMERC
OK
01
—
731308674003
CIGNA
OK
Enumeration date
08/29/2006
Last updated
05/09/2012
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