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Individual

DR. TIMOTHY LOUIS ROACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 473-5327

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
65564
MN
208M00000X
Hospitalist Physician
35133683
OH

Other

Enumeration date
04/27/2015
Last updated
06/03/2019
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