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Individual
MR. STANLEY JOHN TIMINSKI III
Active
Individual
MR. STANLEY JOHN TIMINSKI III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, FNP
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
90934
WV
363L00000X
Nurse Practitioner
Primary
107721
WV
Other
Enumeration date
08/26/2020
Last updated
12/15/2021
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