Individual
DR. TIMOTHY MONARI NYARANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
332 2ND AVE N, WAHPETON, ND 58075-4528
(701) 642-7000
(701) 642-7055
Mailing address
332 2ND AVE N, WAHPETON, ND 58075-4528
(701) 642-7000
(701) 642-7055
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10697
ND
207Q00000X
Family Medicine Physician
4301083834
MI
207Q00000X
Family Medicine Physician
PT 10697
ND
390200000X
Student in an Organized Health Care Education/Training Program
4301083834
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14375
—
ND
05
—
969447000
—
MN
Enumeration date
06/12/2007
Last updated
11/30/2011
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