Individual
TIMOTHY M ZOELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
810 E 23RD ST, SIOUX FALLS, SD 57105-2135
(605) 331-5890
(605) 336-3974
Mailing address
PO BOX 5116, SIOUX FALLS, SD 57117-5116
(605) 331-5890
(605) 336-3974
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1881
SD
207X00000X
Orthopaedic Surgery Physician
33854
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245263326
NORIDIAN MEDICARE DME
SD
01
—
200044644
RAILROAD MEDICARE
SD
05
—
6400542
—
SD
Enumeration date
07/28/2006
Last updated
01/28/2010
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