Individual
RICHARD C TIMMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 PHALEN BLVD, MAIL STOP 41102E, ST PAUL, MN 55101-5302
(651) 254-7760
(651) 254-7765
Mailing address
401 PHALEN BLVD, PMR DEPT MS 41104F, SAINT PAUL, MN 55130-5302
(651) 254-7760
(952) 883-5395
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
21315
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690802100
—
MN
Enumeration date
02/10/2006
Last updated
08/26/2015
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