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Individual
DR. TIMOTHY JOHN FERNSTROM
Active
Individual
DR. TIMOTHY JOHN FERNSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
81905
SC
207R00000X
Internal Medicine Physician
Primary
DO26647
OR
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
DO26647
OR
207RP1001X
Pulmonary Disease Physician
DO26647
OR
Other
Enumeration date
05/30/2007
Last updated
06/18/2025
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