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NPI Code Detail

MEDICARE: DR. TIMOTHY EARLE BEYER D.O.

MEDICARE: DR. TIMOTHY EARLE BEYER D.O.
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
12084P0800XPsychiatry Physician46523MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427094713
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIMOTHY EARLE BEYER D.O.
Provider Business Mailing Address
First Line : 570 PROFESSIONAL DR
Second Line :
City : NORTHFIELD
State : MN
Zip : 55057-2756
Country : US
Telephone Number : 507-301-3412
Fax Number : 507-301-3308
Provider Business Practice Location Address
First Line : 570 PROFESSIONAL DR
Second Line :
City : NORTHFIELD
State : MN
Zip : 55057-2756
Country : US
Telephone Number : 507-301-3412
Fax Number : 507-301-3308
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2006
Last Update Date : 07/21/2022

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