Individual
DR. TIMOTHY J METZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
911 E 20TH ST STE 602, SIOUX FALLS, SD 57105-1048
(605) 338-7098
(605) 335-3505
Mailing address
5105 S PENNBROOK AVE, SIOUX FALLS, SD 57108-2990
(605) 338-0500
(605) 335-3505
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
4713
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4997536
BLUE CROSS SD
SD
05
—
532754
—
IA
05
—
5700900
—
SD
05
—
590007700
—
MN
01
—
96D03ME
BLUE CROSS MN
MN
Enumeration date
11/07/2006
Last updated
04/18/2018
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