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Contact Information

TIMOTHY J EDMISTON, MD
1300 ANNE ST NW
BEMIDJI, MN56601
 Phone: 813-468-7412
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for TIMOTHY J EDMISTON · (Male)

NPI Number 1982021549
Status Active
Credentials MD
Entity Individual
Enumeration date 03/20/2014
Last updated 12/03/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • MN License # 63877
  • MT License # 160475
Hospital affiliation(s)
  • ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER - (Acute Care)
    523 NORTH 3RD STREET
    BRAINERD, MN 56401
  • FAIRVIEW NORTHLAND REGIONAL HOSPITAL - (Acute Care)
    911 NORTHLAND DR
    PRINCETON, MN 55371
  • NORTH MEMORIAL MEDICAL CENTER - (Acute Care)
    3300 OAKDALE NORTH
    ROBBINSDALE, MN 55422
  • SANFORD BEMIDJI MEDICAL CENTER - (Acute Care)
    1300 ANNE ST NW
    BEMIDJI, MN 56601
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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