Individual
TIMOTHY J HALLORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 N MAIN ST, SUITE 101, LE SUEUR, MN 56058-5500
(507) 665-4017
(507) 665-4019
Mailing address
700 W PRAIRIE ST, BELLE PLAINE, MN 56011-1000
(952) 873-2276
(952) 873-4222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
273301
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226268100
—
MN
Enumeration date
01/12/2007
Last updated
01/07/2021
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