TIM JOE FICKEN

BAR NUNN, WY
NPI1790206670
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Enumeration Date2017-06-30
Last Update Date2019-01-28
Business Address
TIM JOE FICKEN CSTFA
2110 SIOUX TRL
BAR NUNN, WY 82601-7611
Phone number: 307-277-4209
Mailing Address
TIM JOE FICKEN CSTFA
2110 SIOUX TRL
BAR NUNN, WY 82601-7611
Phone number: 307-277-4209
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