Individual
TIMOTHY SCHENK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
255 SMITH AVE N, 100, SAINT PAUL, MN 55102-2572
(651) 726-2767
(651) 310-1666
Mailing address
15652 FLACKWOOD WAY, APPLE VALLEY, MN 55124-5868
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R122424-1
MN
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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