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Individual

TIMOTHY TOSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
800 MEDICAL CENTER DR, FAIRMONT, MN 56031-4575
(507) 238-8555
Mailing address
800 MEDICAL CENTER DR, FAIRMONT, MN 56031-4575
(507) 238-8555

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25298
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
163597200
MN
05
4946210
IA
01
51A72TO
BCBS
MN
05
51A72TO
MN
01
6607474
MEDICA
MN
Enumeration date
12/08/2005
Last updated
07/09/2007
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