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Individual

DR. CAROLINE ELIZABETH TIMMERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1650 COWLES ST, FAIRBANKS, AK 99701-5925
(907) 458-5555
Mailing address
PO BOX 80848, FAIRBANKS, AK 99708-0848
(866) 321-8433

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
45060
KY
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
4916
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MD1706
AK
05
MD17061
AK
Enumeration date
09/30/2005
Last updated
02/26/2013
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