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Individual
TIMOTHY W TOLLESTRUP
Active
Individual
TIMOTHY W TOLLESTRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
13209
NV
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
13209
NV
Other
Enumeration date
08/25/2006
Last updated
03/11/2010
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