Individual
TIMOTHY D. NOSTRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1898 FORT RD, SHERIDAN, WY 82801-8322
(307) 672-3473
Mailing address
1255 ROSEWOOD CT, SHERIDAN, WY 82801-9154
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11729A
WY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2016
Last updated
04/08/2020
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