Formanek, Timothy

Formanek, Timothy is an individual health care provider with primary practice located at 701 Park Ave R1, Minneapolis MN 55415-1623. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Formanek, Timothy can be contacted via phone (612) 873-3131.

Contact Information

Primary practice address
701 Park Ave R1 Minneapolis MN 55415-1623
Phone: (612) 873-3131
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9099 Minnesota

Profile Details

NPI number 1598718215
LBN Legal business name Formanek, Timothy
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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