Individual
TIMOTHY DEAN MINNIEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
51 N DUNLAP ST, MEMPHIS, TN 38105-4625
(901) 287-7337
Mailing address
850 POPLAR AVE BLDG 2, MEMPHIS, TN 38105-4607
(901) 287-5594
(901) 287-6804
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
40433
TN
208000000X
Pediatrics Physician
23116
MS
2080P0208X
Pediatric Infectious Diseases Physician
Primary
40433
TN
Other
Enumeration date
08/15/2008
Last updated
08/14/2020
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