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Individual

DR. TIMOTHY L OBERNUEFEMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2320 WILMA RUDOLPH BLVD, CLARKSVILLE, TN 37040-5821
(931) 645-1564
(931) 645-3842
Mailing address
2320 WILMA RUDOLPH BLVD, CLARKSVILLE, TN 37040-5821
(931) 645-1564
(931) 645-3842

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD13584
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4041102
BLUECROSS BLUESHIELD
TN
Enumeration date
06/06/2006
Last updated
02/19/2010
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