Dr TIMOTHY M KOBERNIK is a male medical professional, specializing in Family Medicine. He graduated in 1984 from College Of Osteo Of The Pacific.
NORTHWESTERN HEALTHCARE MANAGEMENT SERVICES, LLC
4401 BRIDGEPORT WAY W
UNIVERSITY PLACE
WA
984664201
Tel: 2535644157
| Npi | 1588733604 |
| Pac Id | 6901093277 |
| Professional Enrollment Id | I20101213000579 |
| Last Name | KOBERNIK |
| First Name | TIMOTHY |
| Middle Name | M |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | COLLEGE OF OSTEO OF THE PACIFIC |
| Graduation Year | 1984 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Organization Legal Name | NORTHWESTERN HEALTHCARE MANAGEMENT SERVICES, LLC |
| Group Practice Pac Id | 2365715026 |
| Number Of Group Practice Members | 3 |
| Line 1 Street Address | 4401 BRIDGEPORT WAY W |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | UNIVERSITY PLACE |
| State | WA |
| Zip Code | 984664201 |
| Phone Number | 2535644157 |
| Hospital Affiliation Ccn 1 | 500039 |
| Hospital Affiliation Lbn 1 | HARRISON MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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