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Individual
DR. TIMOTHY MANSON
Active
Individual
DR. TIMOTHY MANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD00037317
WA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD00037317
WA
Other
Enumeration date
07/26/2005
Last updated
07/12/2012
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