Thormodsgard, Timothy
Thormodsgard, Timothy is an sole proprietor health care provider with primary practice located at 424 W Highway 5 , Waconia MN 55387-1723. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Thormodsgard, Timothy can be contacted via phone (952) 442-4461.Contact Information
Primary practice address
424 W Highway 5
Waconia MN 55387-1723
Phone: (952) 442-4461
Fax: (952) 442-5753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 54999 | Minnesota |
Profile Details
| NPI number | 1063611770 |
|---|---|
| LBN Legal business name | Thormodsgard, Timothy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2007 |
| Last updated | Apr 25th, 2013 - about 12 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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