# DYLAN TIMBERLAKE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1730574328
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | 35.133409 | OH | Yes |
| 207K00000X | Allergy & Immunology Physician | 75482-20 | WI | — |
| 208000000X | Pediatrics Physician | 35.133409 | OH | — |

## Other

- **Enumeration date:** 04/01/2015
- **Last updated:** 05/31/2024