Individual
TIMOTHY S MULDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
502 2ND ST SW STE 1, WILLMAR, MN 56201-3365
(320) 235-7232
(320) 231-8602
Mailing address
502 2ND ST SW SUITE 1, WILLMAR, MN 56201-3365
(320) 235-7232
(320) 231-8602
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40320
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161218200
—
MN
Enumeration date
08/22/2005
Last updated
01/22/2014
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