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Individual
TIMOTHY M ZOELLNER
Active
Individual
TIMOTHY M ZOELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1881
SD
207X00000X
Orthopaedic Surgery Physician
33854
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245263326
NORIDIAN MEDICARE DME
SD
01
—
200044644
RAILROAD MEDICARE
SD
05
—
6400542
—
SD
Enumeration date
07/28/2006
Last updated
01/28/2010
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