Dr. Timothy Michael Foeller, M.D.
Hospitalist in Bolivia, NC. Individual provider (NPI-1).
NPI number1497076053
StatusActive
Last updated in NPPESOct 23, 2023
Details
- NPI
- 1497076053
- Entity type
- Individual (NPI-1)
- Name
- Dr. Timothy Michael Foeller
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2010
- Certification date
- Oct 23, 2023
- Last updated
- Oct 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 2023-01534 | NC | Yes |
| 207R00000X | Internal Medicine | A141573 | CA | |
| 207R00000X | Internal Medicine | 125-058488 | IL | |
| 207R00000X | Internal Medicine | 2019013057 | MO | |
| 208M00000X | Hospitalist | DR.0071799 | CO |
Practice location
240 Hospital Dr NeBolivia, NC 28422-8346
Phone 910-721-2070 · Fax 910-721-2074
Mailing address
Po Box 60447Charlotte, NC 28260-0447
Phone 910-721-2070 · Fax 910-721-2074
Other practice locations
2222 N Nevada Ave
Colorado Springs, CO 80907-6819
Colorado Springs, CO 80907-6819
Phone 719-776-8040 · Fax 719-776-8050
9850 W St Lukes Dr
Nampa, ID 83687-7912
Nampa, ID 83687-7912
Phone 208-205-7282
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