Fresonke, Timothy Richard

Fresonke, Timothy Richard is an individual health care provider with primary practice located at 1000 Coney St W , Perham MN 56573-2102. 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. Fresonke, Timothy Richard can be contacted via phone (218) 347-1400.

Contact Information

Primary practice address
1000 Coney St W Perham MN 56573-2102
Phone: (218) 347-1400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 14526 Minnesota

Profile Details

NPI number 1548945397
LBN Legal business name Fresonke, Timothy Richard
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2023
Last updated Jun 25th, 2023 - about 3 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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