# TIMOTHY R BEISWENGER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1588681571
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | 15182 | ND | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | 45659 | MN | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | ME105780 | FL | — |

## Other

- **Enumeration date:** 07/16/2006
- **Last updated:** 07/06/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001859200 | — | FL |