Individual
DR. TIMOTHY HANS DERSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 S ALLEN ST, SUITE 216, STATE COLLEGE, PA 16801-4849
(814) 689-9744
(888) 981-8069
Mailing address
PO BOX 1120, LEMONT, PA 16851-1120
(814) 689-9744
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD 056013-L
PA
Other
Enumeration date
07/13/2005
Last updated
07/26/2016
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