Individual
TIMOTHY GLENN DIRKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13367 ISLE DR, BAXTER, MN 56425-2221
(218) 855-5280
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
41606
MN
Other
Enumeration date
03/28/2006
Last updated
03/11/2021
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