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Individual

TIMOTHY SZUTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 MEDICAL CENTER DR, FAIRMONT, MN 56031-4575
(507) 238-8555
Mailing address
800 MEDICAL CENTER DR, PO BOX 800, FAIRMONT, MN 56031-4575
(507) 238-8555

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
44405
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
141051
MN
01
1480784
ARAZ
MN
01
16-02455
MEDICA
MN
01
23361
SIOUX VALLEY
MN
01
49G80SZ
BLUE CROSS
MN
05
49G80SZ
MN
05
545152
IA
01
6183
AVERA
MN
01
A046
CHAMPUS
MN
01
HP33885
HEALTH PARTNERS
MN
01
MH9041029307
PREFERRED ONE
MN
Enumeration date
12/07/2005
Last updated
07/09/2007
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