Individual
DR. TIMOTHY JOE MISENHEIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
548 GREENSBORO ST, ASHEBORO, NC 27203-5573
(336) 629-5989
(336) 629-9868
Mailing address
548 GREENSBORO ST, ASHEBORO, NC 27203-5573
(336) 629-5989
(336) 629-9868
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
32950
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26738
PARTNERS
NC
01
—
551574
MAMSI
NC
01
—
59547
BCBS
NC
05
—
8959547
—
NC
01
—
C0760
MEDCOST
NC
Enumeration date
09/21/2006
Last updated
05/25/2022
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