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Individual

DR. TIMOTHY JOHN SHEEHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
421 6TH ST S, WINSTED, MN 55395-1103
(320) 485-2380
(320) 485-4548
Mailing address
PO BOX 127, WINSTED, MN 55395-0127
(320) 485-2380
(320) 485-4548

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2747
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3C470SH
BLUE CROSS BLUE SHIELD
MN
Enumeration date
12/10/2007
Last updated
12/10/2007
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