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Individual
TIMOTHY D. VANGELDER
Active
Individual
TIMOTHY D. VANGELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
52400
WI
207Q00000X
Family Medicine Physician
Primary
52721
MN
Other
Enumeration date
12/10/2008
Last updated
01/07/2021
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