Individual
DR. TIMOTHY GEORGE VEDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 6TH AVE N, CENTRA CARE CLINIC, SAINT CLOUD, MN 56303-2735
(320) 252-5131
Mailing address
1200 6TH AVE N, CENTRA CARE CLINIC, SAINT CLOUD, MN 56303-2735
(320) 252-5131
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
12652
HI
208000000X
Pediatrics Physician
56013
MN
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
56013
MN
Other
Enumeration date
04/05/2006
Last updated
04/24/2013
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