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Contact Information

TIMOTHY J GAVIN, MD
6405 FRANCE AVE S
SUITE W440
EDINA, MN55435-2163
 Phone: 952-927-7004
 Fax: 952-927-5146
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

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

NPI # 1528004587
Status Active
Credentials MD
Entity Individual
Enumeration date 06/20/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 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(s)
  • FAIRVIEW RIDGES HOSPITAL - (Acute Care)
    201 EAST NICOLLET BOULEVARD
    BURNSVILLE, MN 55337
  • FAIRVIEW SOUTHDALE HOSPITAL - (Acute Care)
    6401 FRANCE AVENUE SOUTH
    EDINA, MN 55435
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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