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1467436618
TIMOTHY JOHN REGAN
BLAINE, MN
NPI
1467436618
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MN 26299)
Enumeration Date
2005-12-01
Last Update Date
2007-07-08
Business Address
-- TIMOTHY JOHN REGAN MD
12175 ABERDEEN ST NE
BLAINE, MN 55449-4717
Phone number: 763-785-4200
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Mailing Address
-- TIMOTHY JOHN REGAN MD
12175 ABERDEEN ST NE
BLAINE, MN 55449-4717
Phone number: 763-785-4200
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