Timothy John Stephens

NPI #1053077024 in Big Lake, Minnesota

Provider Information

NPI Number
1053077024
Entity Type
Individual
Name
Timothy John Stephens
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Contractor - Home Modifications
Enumeration Date
Nov 13, 2021
Last Updated
Nov 13, 2021

Practice Location

Address
22251 169TH ST NW
ZIP Code
55309-8220
Phone
(612) 710-8451

Specialties & Taxonomy Codes

Specialty
Contractor - Home ModificationsHome Modifications

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