Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY JOHN BLACKOWIKAK, L.P.N
Active Sole ProprietorTIMOTHY JOHN BLACKOWIKAK, L.P.N is a Licensed Practical Nurse healthcare provider located in DUNDAS, Minnesota. NPI 1750701272 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · DUNDAS, MN
Registration Details
- NPI Number
- 1750701272
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 23, 2014 (12.274136418707 yrs)
- Last Updated
- Apr 23, 2014
- Licenses
-
L36999-0 (MN)L36999-0 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
212 FOREST AVE NDUNDAS, MN, 550193941Browse MN providers · Browse ZIP 55019
- Phone
- 6124235639
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
- Additional Specialty
- Licensed Vocational Nurse
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.