National Provider Identifier Database

TIMOTHY J GAVIN, MD – NPI #1528004587
Vascular Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Contact Information

TIMOTHY J GAVIN, MD
6405 FRANCE AVE S
SUITE W440
EDINA, MN  55435-2163
Phone: 952-927-7004
Fax: 952-927-5146
Website:
Specialty Taxonomy Code
* Vascular Surgery 2086S0129X
Surgery 208600000X

* Indicates primary specialty

NPI Profile & details for TIMOTHY J GAVIN

NPI Number 1528004587
Credentials MD
Entity Individual
Enumeration date 06/20/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • MN License #: 47505
  • MN Medicaid: 766110000
  • MN Other: 2341371 AMERICA'S PPO
  • MN Other: 993N5GA BLUECROSS/BLUESHIELD MN
  • MN Other: HP50655 HEALTHPARTNERS
  • MN Other: 3700049 MEDICA
  • MN Other: P00217949 MEDICARE RAILROAD
  • MN Other: 47505 MN LICENSE
  • MN Other: 961901043279 PREFERREDONE
  • MN Other: 181292 UCARE MINNESOTA
Hospital affiliation n/a

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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