Individual
MR. STANLEY JOHN TIMINSKI III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, FNP
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4000
Mailing address
2312 CIRCLE DR, MORGANTOWN, WV 26505-2912
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
90934
WV
363L00000X
Nurse Practitioner
Primary
107721
WV
Other
Enumeration date
08/26/2020
Last updated
12/15/2021
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