Individual provider · Type 1 NPI
Tim John Dornisch
Home Modifications Contractor · Minnetonka, MN
NPI number
1275390791
Active
Practice location
4441 Gaywood Dr
Minnetonka, MN 55345-3809
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Modifications Contractor Primary | 171WH0202X | BC692986 (MN) |
Home Modifications Contractor: A contractor who makes modifications to homes to accommodate a health condition.
About NPI 1275390791
Tim John Dornisch's National Provider Identifier is 1275390791, issued on Mar 1, 2024. The primary taxonomy on file is Home Modifications Contractor (171WH0202X), and the practice location is in Minnetonka, MN. The record was last updated on Mar 1, 2024.