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Individual

TIMOTHY E SAVAGEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
21260 CHIPPENDALE AVE W, FARMINGTON, MN 55024-1427
(651) 463-7181
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(651) 214-0847

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2269
MN
152W00000X
Optometrist
476
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
349823900
MN
Enumeration date
04/10/2006
Last updated
03/11/2021
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