Individual
TIMOTHY NOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8675 VALLEY CREEK RD, WOODBURY, MN 55125-2337
(651) 241-3000
(651) 241-3500
Mailing address
8675 VALLEY CREEK RD, WOODBURY, MN 55125-2337
(651) 241-3000
(651) 241-3500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
58646
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306009360
—
IA
Enumeration date
07/09/2008
Last updated
11/10/2020
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