Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIM JOE FICKEN, CSTFA
Active Sole ProprietorTIM JOE FICKEN, CSTFA is a Surgical Physician Assistant healthcare provider located in BAR NUNN, Wyoming. NPI 1790206670 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · BAR NUNN, WY
Registration Details
- NPI Number
- 1790206670
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2017 (9.1313385788723 yrs)
- Last Updated
- Jan 28, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
2110 SIOUX TRLBAR NUNN, WY, 826017611Browse WY providers · Browse ZIP 82601
- Phone
- 3072774209
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
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.