Individual
TIM JOE FICKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSTFA
Contact information
Practice address
2110 SIOUX TRL, BAR NUNN, WY 82601-7611
(307) 277-4209
Mailing address
2110 SIOUX TRL, BAR NUNN, WY 82601-7611
(307) 277-4209
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/30/2017
Last updated
01/28/2019
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