Individual
TIMOTHY J. NYPAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
057463
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TN057463
CHAMPUS-CHAMPUS
—
Enumeration date
12/18/2006
Last updated
07/08/2007
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