SearchMinnesota363A00000X

Michael Timm, PAC

NPI 1245202399 · on the registry since 2006

Practice

Address
640 Jackson St
Mc 11503j
St Paul, MN 55101
Phone
(651) 254-5701
Fax
(651) 254-1519
Clinicians at this address
115

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-03-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota