Individual
TIMOTHY JAMES MITZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7000 YORK AVE S, T-2313, EDINA, MN 55435-4213
(952) 925-4250
(952) 252-1761
Mailing address
1710 LARPENTEUR AVE W, APT 2B, FALCON HEIGHTS, MN 55113-5720
(303) 359-2149
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
120106
MN
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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