Individual
TIMOTHY T O'SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 S EUCLID AVE, STE 510, SIOUX FALLS, SD 57105-0404
(605) 328-7500
(605) 328-7599
Mailing address
2912 S HOLLY AVE, SIOUX FALLS, SD 57105-4412
(605) 336-3230
(605) 328-9501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3534
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6002586
—
SD
Enumeration date
06/16/2005
Last updated
07/08/2007
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