Individual
DR. BRIAN GLENN TIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
161 RIVERSIDE DR, SUITE M08, BINGHAMTON, NY 13905-4176
(607) 723-7454
(607) 723-1567
Mailing address
161 RIVERSIDE DR, SUITE M08, BINGHAMTON, NY 13905-4176
(607) 723-7454
(607) 723-1567
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
AN006710
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3608100
—
FL
Enumeration date
12/31/2008
Last updated
03/19/2021
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