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NPI Code Detail

MEDICARE: TIMOTHY ALAN LANDER MD

MEDICARE:   TIMOTHY ALAN LANDER  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207YP0228XPediatric Otolaryngology Physician44210MN

General Provider Information

NPI Number : 1548264435
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY ALAN LANDER MD
Provider Business Mailing Address
First Line : 910 E 26TH ST
Second Line : STE 323
City : MINNEAPOLIS
State : MN
Zip : 55404-4549
Country : US
Telephone Number : 612-874-1292
Fax Number : 612-874-0985
Provider Business Practice Location Address
First Line : 910 E 26TH ST
Second Line : STE 323
City : MINNEAPOLIS
State : MN
Zip : 55404-4549
Country : US
Telephone Number : 612-874-1292
Fax Number : 612-874-0985
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2005
Last Update Date : 07/08/2007

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Directions to “ TIMOTHY ALAN LANDER MD” Practice Location

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