Individual
DR. TYSEN TIMMER
Active
Individual
DR. TYSEN TIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
127303
MT
390200000X
Student in an Organized Health Care Education/Training Program
RL15177
ND
Other
Enumeration date
06/24/2018
Last updated
04/04/2024
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