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Individual

TIMOTHY V VOTAVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
12737 RIVERDALE BLVD NW, COON RAPIDS, MN 55448-1253
(763) 421-1688
(763) 421-1788
Mailing address
12737 RIVERDALE BLVD NW, COON RAPIDS, MN 55448-1253
(763) 421-1688
(763) 421-1788

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2512
MN

Other

Enumeration date
03/24/2008
Last updated
07/09/2009
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