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Individual

NATHAN R TIWARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1601 GOLF COURSE RD, GRAND RAPIDS, MN 55744-8648
(218) 326-3401
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
(208) 520-6250

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD-44379
IA
207Q00000X
Family Medicine Physician
Primary
6871697
ID
207Q00000X
Family Medicine Physician
PERMIT22870
MN
390200000X
Student in an Organized Health Care Education/Training Program
PERMIT22870
MN

Other

Enumeration date
09/30/2010
Last updated
02/26/2026
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