J TIMOTHY DIEGEL

ST LOUIS PARK, MN
NPI1619951308
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207W00000X Ophthalmology
(Licence: MN  20792)
Enumeration Date2005-12-06
Last Update Date2012-03-01
Business Address
-- J TIMOTHY DIEGEL
3900 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416-2503
Phone number: 952-993-3150
Mailing Address
-- J TIMOTHY DIEGEL
3800 PARK NICOLLET BLVD CREDENTIALING
ST LOUIS PARK, MN 55416-2527
Phone number:
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