Individual
DR. TIMOTHY GARTH ABRAHAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2424 128TH ST, NW 128TH STREET, URBANDALE, IA 50323-1816
(515) 243-8676
(515) 243-0487
Mailing address
2424 128TH ST, NW 128TH STREET, URBANDALE, IA 50323-1816
(515) 243-8676
(515) 243-0487
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
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