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NPI Profile for TIMOTHY J BLACKOWIKAK in DUNDAS, MN.
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Licensed Practical Nurse |
164W00000X | |||
Licensed Vocational Nurse |
164X00000X |
| NPI # | 1750701272 |
|
| Status | Active | |
| Credentials | L.P.N | |
| Entity | Individual | |
| Enumeration date | 04/23/2014 | |
| Last updated | 04/23/2014 - About 12 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TIMOTHY J BLACKOWIKAK
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TIMOTHY J BLACKOWIKAK, L.P.N