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Individual

DR. LEANDER DOMINIC TIMOTHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MPH

Contact information

Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
28625
MN
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
65944
MN

Other

Enumeration date
07/26/2017
Last updated
07/23/2019
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