Individual
DR. TIMOTHY LEIGH PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7300 147TH ST W, SUITE 204, APPLE VALLEY, MN 55124-7541
(952) 997-3020
(952) 997-3026
Mailing address
1900 SILVER LAKE RD NW, SUITE 110, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
48011
MN
2084P0804X
Child & Adolescent Psychiatry Physician
48011
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
973108300
—
MN
Enumeration date
07/31/2006
Last updated
07/01/2008
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