Individual
TIMOTHY HENRY KNIERIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 MEDICAL PARK, SUITE 401, WHEELING, WV 26003-6392
(304) 243-3880
(304) 243-3895
Mailing address
40 MEDICAL PARK, SUITE 401, WHEELING, WV 26003-6392
(304) 243-3880
(304) 243-3895
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21477
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21477
HEALTH PLAN OF UPPER OH V
—
05
—
2487232
—
OH
05
—
3810000145
—
WV
01
—
55035705700
WV COMPENSATION
WV
Enumeration date
08/09/2005
Last updated
10/18/2007
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