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Timothy John Stephens
Home Modifications Contractor in Big Lake, Minnesota
NPI 1053077024

Timothy John Stephens is a Home Modifications Contractor based in Big Lake, MN and is specialized in Home Modifications. Timothy John Stephens practices in Big Lake, MN. The NPI Number for Timothy John Stephens is 1053077024 and holds a License No. BC767187 (Minnesota).

The current practice location address for Timothy John Stephens is 22251 169Th St Nw, Big Lake, MN and can be reached out via phone at 612-710-8451.

Location: 22251 169Th St Nw, Big Lake, MN, 55309-8220
person
Provider Profile Details
NPI Number
1053077024
Provider Name
Timothy John Stephens
Credential
Provider Entity Type
Individual
Gender
Male
Address
22251 169Th St Nw, Big Lake, MN, 55309-8220
Phone Number
612-710-8451
Fax Number
Provider Enumeration Date
11/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
22251 169Th St Nw
City
State
Zip
55309-8220
Phone Number
612-710-8451
Fax Number
person
Provider Business Mailing Address Details
Address
22251 169Th St Nw
City
State
Zip
55309-8220
Phone Number
612-710-8451
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
Home Modifications
Taxonomy
License No.
BC767187 (Minnesota)
Definition
Definition to come...
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