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NPI Code Detail

MEDICARE: TIMOTHY MARK HERR M.D.

MEDICARE: TIMOTHY MARK HERR M.D.
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
1207Y00000XOtolaryngology PhysicianM7263TX
2207Y00000XOtolaryngology Physician25217AZ
3207Y00000XOtolaryngology Physician65101MN

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 : 1609860477
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY MARK HERR M.D.
Provider Business Mailing Address
First Line : 210 9TH ST SE
Second Line :
City : ROCHESTER
State : MN
Zip : 55904-6756
Country : US
Telephone Number : 507-288-3443
Fax Number :
Provider Business Practice Location Address
First Line : 210 9TH ST SE
Second Line :
City : ROCHESTER
State : MN
Zip : 55904-6756
Country : US
Telephone Number : 507-288-3443
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 11/24/2020

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