Individual
DR. TIMOTHY PAUL WEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4000 CENTRAL AVE NE STE 308, COLUMBIA HEIGHTS, MN 55421-2971
(763) 781-7475
(763) 781-0828
Mailing address
2566 ELLIS AVE, UNIT 109, SAINT PAUL, MN 55114-1445
(612) 703-6991
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11526
MN
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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