Individual
DR. TIMOTHY THORMODSGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
424 W HIGHWAY 5, WACONIA, MN 55387-1723
(952) 442-4461
(952) 442-5753
Mailing address
424 W HIGHWAY 5, WACONIA, MN 55387-1723
(952) 442-4461
(952) 442-5753
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
54999
MN
Other
Enumeration date
07/12/2007
Last updated
04/25/2013
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