Timothy Dwight Edmisten, MD

NPI #1780679357 in Boone, North Carolina

Provider Information

NPI Number: 1780679357
Entity Type: Individual
Name: Timothy Dwight Edmisten, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Sep 20, 2005
Last Updated: Mar 10, 2023

Practice Location

Address: 965 STATE FARM RD
City: Boone
State: North Carolina
ZIP Code: 28607-4948
Phone: (828) 264-2340

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X
Thoracic Surgery (Cardiothoracic Vascular Surgery)	208G00000X
Surgery	208600000X	Primary

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