Individual
DR. CASEY TIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
(618) 256-7669
Mailing address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0102206353
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
03/15/2017
Last updated
02/27/2025
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