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Individual

DR. TIMOTHY P MICHALS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 S BRUCE ST, MARSHALL, MN 56258-1934
(507) 532-9661
Mailing address
300 S BRUCE ST, MARSHALL, MN 56258-1934
(507) 532-9661
(507) 532-1176

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036129518
IL
207R00000X
Internal Medicine Physician
Primary
53817
MN
208000000X
Pediatrics Physician
036129518
IL
208000000X
Pediatrics Physician
53817
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1164620464
MN
Enumeration date
07/07/2007
Last updated
04/29/2021
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