Timothy J Hernandez MD

NPI 1932110079 - Family Medicine - 207Q00000X

NPI Details
NPI 1932110079
Gender Male
Enumeration Date 08/11/2006
Last Updated 10/21/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
234 WENTWORTH AVE E
WEST SAINT PAUL MN, 55118-3525, US
Phone (651) 455-2940
Fax (651) 455-3354
Business Location
2025 SLOAN PL
SUITE 35
SAINT PAUL MN, 55117-2007, US
Phone (651) 772-1572
Fax (651) 772-1889
Toxanomy
Taxonomy Code 207Q00000X
License State Minnesota
License Number 30114
Remove 1932110079 NPI Number
 

According to our database, Timothy J Hernandez MD NPI is 1932110079, taxonomy code is 207Q00000X and license number is 30114, license state is located at Minnesota. Timothy J Hernandez MD physically located at 234 Wentworth Ave E, West Saint Paul MN, 55118-3525. NPI Number Timothy J Hernandez MD has the Individual type.

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1932110079 NPI number is provided on an as is basis without warranty of any kind. 1932110079 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy J Hernandez MD are for informational purposes only.