Organization
TIM TINIUS PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY PAUL TINIUS PHD (CEO)
(320) 654-9311
Entity
Organization
Contact information
Practice address
225 N BENTON DR, #104, SAUK RAPIDS, MN 56379-1575
(320) 654-9311
(320) 654-9248
Mailing address
225 N BENTON DR, #104, SAUK RAPIDS, MN 56379-1575
(320) 654-9311
(320) 654-9248
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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