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NPI Code Detail

MEDICARE: MR. TIMOTHY KUFAHL MD

MEDICARE: MR. TIMOTHY KUFAHL 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
1207Q00000XFamily Medicine Physician56610MN

General Provider Information

NPI Number : 1073871000
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TIMOTHY KUFAHL MD
Provider Business Mailing Address
First Line : 1400 WOODLAND AVE
Second Line :
City : DULUTH
State : MN
Zip : 55803-2624
Country : US
Telephone Number : 218-249-8800
Fax Number : 218-249-8828
Provider Business Practice Location Address
First Line : 1400 WOODLAND AVE
Second Line :
City : DULUTH
State : MN
Zip : 55803-2624
Country : US
Telephone Number : 218-249-8800
Fax Number : 218-249-8828
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2012
Last Update Date : 12/04/2020

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Directions to “ MR. TIMOTHY KUFAHL MD” Practice Location

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