Individual
DR. TIMOTHY MICHAEL FLAHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1881 E MADISON AVE, MANKATO, MN 56001-6200
(507) 388-9805
(507) 388-9812
Mailing address
205 STONEHENGE DR, MANKATO, MN 56001-9334
(507) 345-6172
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2486
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1880048
MAYO
MN
01
—
19979
SPECTERA
MN
01
—
22-00932
MEDICA
MN
Enumeration date
11/03/2006
Last updated
05/27/2008
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