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Contact Information

TIMOTHY DEACONSON, MD
1025 MARSH ST
MANKATO, MN56001-4752
 Phone: 507-625-4031
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for TIMOTHY DEACONSON · (Male)

NPI Number 1679559355
Status Active
Credentials MD
Entity Individual
Enumeration date 12/15/2005
Last updated 04/09/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MN License # 47404
Hospital affiliation(s)
  • LONG BEACH MEMORIAL MEDICAL CENTER - (Acute Care)
    2801 ATLANTIC AVE
    LONG BEACH, CA 90806
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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