Individual
DR. TIMOTHY VERNON MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
403 S OAK ST, LAKE CITY, MN 55041-1739
(952) 595-1100
(612) 294-4903
Mailing address
11995 SINGLETREE LN, SUITE 500, EDEN PRAIRIE, MN 55344-5347
(952) 595-1301
(612) 294-4903
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-33400
KS
2085R0202X
Diagnostic Radiology Physician
255272-1
NY
2085R0202X
Diagnostic Radiology Physician
Primary
37040
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004030030
PTAN
KS
05
—
200011642
—
MO
05
—
30004191130004
—
KS
Enumeration date
01/11/2006
Last updated
03/17/2026
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