Individual
TIMOTHY R RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 2ND ST. S., STE #301, WAITE PARK, MN 56387-1314
(320) 252-2976
(320) 656-1570
Mailing address
110 2ND ST. S., STE #301, WAITE PARK, MN 56387-1314
(320) 252-2976
(320) 656-1570
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
30993
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
815703100
—
MN
Enumeration date
02/10/2006
Last updated
04/30/2015
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