Individual
TIMOTHY J GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
47505
MN
2086S0129X
Vascular Surgery Physician
Primary
47505
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
181292
UCARE MINNESOTA
MN
01
—
2341371
AMERICA'S PPO
MN
01
—
3700049
MEDICA
MN
01
—
47505
MN LICENSE
MN
05
—
766110000
—
MN
01
—
961901043279
PREFERREDONE
MN
01
—
993N5GA
BLUECROSS/BLUESHIELD MN
MN
01
—
HP50655
HEALTHPARTNERS
MN
01
—
P00217949
MEDICARE RAILROAD
MN
Enumeration date
06/20/2006
Last updated
03/07/2023
Update your record
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