Individual
TIMOTHY P CULBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 CHICAGO AVE S, CHILDRENS SPECIALTY CLINIC INTEGRATIVE MEDICINE MPLS, MINNEAPOLIS, MN 55404
(612) 813-7888
(612) 813-7199
Mailing address
2910 CENTRE POINTE DR, 35-121A, CHILDRENS HEALTH CARE, ROSEVILLE, MN 55113
(651) 855-2109
(651) 855-2310
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
33980
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
664505400
—
MN
Enumeration date
02/17/2006
Last updated
09/25/2013
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