Timothy J Penn, MD

NPI #1124003439 in Glen Carbon, Illinois

Provider Information

NPI Number: 1124003439
Entity Type: Individual
Name: Timothy J Penn, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthopaedic Surgery
Credential: MD
Enumeration Date: Dec 8, 2005
Last Updated: Feb 3, 2015

Practice Location

Address: 4802 S STATE ROUTE 159
City: Glen Carbon
State: Illinois
ZIP Code: 62034-1904
Phone: (618) 288-4388

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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