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1619951308
J TIMOTHY DIEGEL
ST LOUIS PARK, MN
NPI
1619951308
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: MN 20792)
Enumeration Date
2005-12-06
Last Update Date
2012-03-01
Business Address
J TIMOTHY DIEGEL
3900 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416-2503
Phone number: 952-993-3150
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Mailing Address
J TIMOTHY DIEGEL
3800 PARK NICOLLET BLVD CREDENTIALING
ST LOUIS PARK, MN 55416-2527
Phone number:
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