Individual
DR. TIMOTHY GARTH ABRAHAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
33182
IA
207NS0135X
Procedural Dermatology Physician
33182
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1233940
—
IA
01
—
43541
BLUE CROSS
IA
Enumeration date
07/19/2005
Last updated
03/24/2008
Update your record
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