Timothy Michael Tabor in Shoreview - Medical

Timothy Michael Tabor - NPI 1013012756

Timothy Michael Tabor is a Medical in Shoreview, Minnesota. Timothy Michael Tabor practices all healthcare services and medical treatments related to Medical. The NPI Number for Timothy Michael Tabor is 1013012756. The last update date is 2007-07-08.

Timothy Michael Tabor's current location address is 3800 Lexington Ave N, Shoreview, Minnesota. You can contact this provider via phone number 6514860048 and fax number 6514902600. The mailing address for Timothy Michael Tabor is 3800 Lexington Ave N, Shoreview, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Timothy Michael Tabor
Address 3800 Lexington Ave N, Shoreview, Minnesota
Phone Number 6514860048
Fax Number 6514902600
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1013012756
Provider Enumeration Date 2006-09-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3800 Lexington Ave N
City Shoreview
State Minnesota (MN)
Post Code 551262916
Phone Number 6514860048
Fax Number 6514902600

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Timothy Michael Tabor

What is the unique 10-digit identification code issued to Timothy Michael Tabor by the Centers for Medicare & Medicaid Services?

The Timothy Michael Tabor has been assigned the NPI (National Provider Identifier) 1013012756 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Timothy Michael Tabor located?

The Timothy Michael Tabor is located at 3800 Lexington Ave N, Shoreview, MN 551262916.

What is Timothy Michael Tabor's area of expertise and its corresponding taxonomy classification?

The Timothy Michael Tabor's field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.

On what date did the Timothy Michael Tabor receive the assignment of its 1013012756 from the Centers for Medicare & Medicaid Services?

The Timothy Michael Tabor was issued its 1013012756 by the Centers for Medicare & Medicaid Services on 2006-09-14.

As of what date was the information pertaining to Timothy Michael Tabor, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Timothy Michael Tabor, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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