Healthcare Provider Details

I. General information

NPI: 1487621017
Provider Name (Legal Business Name): TIMINDER S BIRING MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2006
Last Update Date: 10/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6405 FRANCE AVE S UNIVERSITY OF MINNESOTA PHYSICIANS HEART
EDINA MN
55435-2163
US

IV. Provider business mailing address

400 STINSON BLVD
MINNEAPOLIS MN
55413-2614
US

V. Phone/Fax

Practice location:
  • Phone: 612-365-5000
  • Fax: 952-836-3988
Mailing address:
  • Phone: 612-672-2294
  • Fax: 612-672-6041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number46253
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberM3915
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number49929
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: