Gavin, Timothy J

Gavin, Timothy J is an individual health care provider with primary practice located at 6405 France Ave S Suite W440, Edina MN 55435-2163. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Gavin, Timothy J can be contacted via phone (952) 927-7004.

Contact Information

Primary practice address
6405 France Ave S Suite W440 Edina MN 55435-2163
Phone: (952) 927-7004
Fax: (952) 927-5146
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 47505 Minnesota
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 47505 Minnesota

Profile Details

NPI number 1528004587
LBN Legal business name Gavin, Timothy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528004587 NPPES
Minnesota Other P00217949 MEDICARE RAILROAD
Minnesota Other 47505 MEDICARE RAILROAD
Minnesota Other HP50655 MEDICARE RAILROAD
Minnesota Other 2341371 MEDICARE RAILROAD
Minnesota MEDICAID 766110000 MEDICARE RAILROAD
Minnesota Other 961901043279 MEDICARE RAILROAD
Minnesota Other 993N5GA MEDICARE RAILROAD
Minnesota Other 3700049 MEDICARE RAILROAD
Minnesota Other 181292 MEDICARE RAILROAD

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