Individual
TIMOTHY G TIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 MERCY DR, DUBUQUE, IA 52004-0731
(563) 589-9615
Mailing address
250 MERCY DR, P O BOX 731, DUBUQUE, IA 52004-0731
(563) 589-8616
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
31521
IA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
31521
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40613
BCBS PROVIDER NUMBER
IA
Enumeration date
02/08/2006
Last updated
07/31/2013
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