Individual
TIMOTHY GERALD BILLIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
20 9TH AVE N, SAINT CLOUD, MN 56303-4626
(320) 253-9920
Mailing address
20 9TH AVE N, SAINT CLOUD, MN 56303-4626
(320) 253-9920
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54111BI
BCBS
—
Enumeration date
07/15/2005
Last updated
03/13/2008
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