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Individual

TIMOTHY D. VANGELDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2200 NW 26TH ST, OWATONNA, MN 55060-5503
(507) 451-1120
(507) 444-6287
Mailing address
2200 NW 26TH ST, OWATONNA, MN 55060-5503
(507) 451-1120
(507) 444-6287

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
52400
WI
207Q00000X
Family Medicine Physician
Primary
52721
MN

Other

Enumeration date
12/10/2008
Last updated
01/07/2021
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