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Individual
TIMOTHY MARK SEIDELMANN
Active
Individual
TIMOTHY MARK SEIDELMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
39596
MN
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
39596
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
829519100
—
MN
Enumeration date
12/05/2006
Last updated
12/02/2015
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