Individual
DR. TIMOTHY M. GOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 E BROADWAY AVENUE, BISMARCK, ND 58501-4520
(701) 530-7000
Mailing address
PO BOX 997, BISMARCK, ND 58502-0997
(701) 530-7000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
36151
MN
207L00000X
Anesthesiology Physician
Primary
4989
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170295500
—
MN
Enumeration date
12/26/2005
Last updated
04/26/2017
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