Individual
DR. TIMOTHY LOUIS GENDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
149 THOMPSON AVE E STE 150, WEST ST PAUL, MN 55118-3238
(651) 450-0860
(651) 450-0759
Mailing address
4240 PARK GLEN RD, ST LOUIS PARK, MN 55416-5427
(612) 925-6033
(612) 925-8496
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
56058
MN
2084P0800X
Psychiatry Physician
69137-20
WI
2084P0800X
Psychiatry Physician
C173229
CA
2084P0800X
Psychiatry Physician
MD10047
RI
2084P0805X
Geriatric Psychiatry Physician
205100
MA
Other
Enumeration date
07/21/2006
Last updated
06/27/2024
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