Individual
TIMOTHY FEYMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 MINNESOTA DR STE 200, BLOOMINGTON, MN 55435-5202
(612) 879-1000
(612) 879-9116
Mailing address
3601 MINNESOTA DR STE 200, BLOOMINGTON, MN 55435-5202
(612) 879-1000
(612) 879-9116
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
52214
MN
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
ML20008563
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130001693
MEDICARE PTAN
MN
Enumeration date
08/30/2006
Last updated
08/04/2025
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