MEDICARE: TIMOTHY A. STRONG

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
1	237700000X	Hearing Instrument Specialist	000954	IA

General Provider Information

NPI Number	:	1891021267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY A. STRONG

Provider Business Mailing Address
First Line	:	5000 CHESHIRE PKWY N
Second Line	:
City	:	PLYMOUTH
State	:	MN
Zip	:	55446-4103
Country	:	US
Telephone Number	:	763-268-4084
Fax Number	:	763-268-4240

Provider Business Practice Location Address
First Line	:	1001 73RD ST
Second Line	:
City	:	WINDSOR HEIGHTS
State	:	IA
Zip	:	50324-1311
Country	:	US
Telephone Number	:	515-274-9907
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2009
Last Update Date	:	10/20/2009

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Directions to “ TIMOTHY A. STRONG ” Practice Location

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