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Individual

TIMOTHY DUANE STARNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5522 DAHLEN DR, MADISON, WI 53705-1342
(319) 621-6170
Mailing address
5522 DAHLEN DR, MADISON, WI 53705-1342
(319) 621-6170

Taxonomy

Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
32733
IA
2080P0214X
Pediatric Pulmonology Physician
Primary
70625-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0235820
IA
05
34503500
WI
01
40226
WELLMARK BCBS
IA
Enumeration date
10/20/2005
Last updated
10/16/2023
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