Individual
MR. TIMOTHY EDWIN TETZLAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
559 W WASHINGTON ST, BURNS, OR 97720-1441
(541) 573-2074
Mailing address
559 W WASHINGTON ST, BURNS, OR 97720-1441
(541) 573-2074
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD204574
OR
Other
Enumeration date
01/06/2015
Last updated
09/19/2023
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