Individual
TIMOTHY R BEISWENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102
(701) 234-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(701) 234-2000
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
15182
ND
207VM0101X
Maternal & Fetal Medicine Physician
45659
MN
207VM0101X
Maternal & Fetal Medicine Physician
ME105780
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001859200
—
FL
Enumeration date
07/16/2006
Last updated
07/06/2022
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