Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TIMOTHY LOUIS GENDRON, MD
ActiveDR. TIMOTHY LOUIS GENDRON, MD is a Psychiatry healthcare provider located in WEST ST PAUL, Minnesota. NPI 1316968985 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · WEST ST PAUL, MN
Registration Details
- NPI Number
- 1316968985
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 21, 2006 (20.074349282853 yrs)
- Last Updated
- Jun 27, 2024
- Licenses
-
MD10047 (RI)205100 (MA)56058 (MN)69137-20 (WI)C173229 (CA)
Practice Information
- Address
-
149 THOMPSON AVE E STE 150WEST ST PAUL, MN, 551183238Browse MN providers · Browse ZIP 55118
- Phone
- 6514500860
- Fax
- 6514500759
- Primary Specialty
-
Psychiatry
2084P0800X
- Additional Specialty
- Geriatric Psychiatry
- Additional Specialty
- Psychiatry
- Additional Specialty
- Psychiatry
- Additional Specialty
- Psychiatry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.