MR. TIM JOHN DORNISCH NPI 1275390791

NPI Information

  • NPI: 1275390791
  • Provider Name: MR. TIM JOHN DORNISCH
  • Classification: Contractor - 171WH0202X
  • Specialization: Home Modifications
  • Entity Type: Individual
  • Address: 4441 GAYWOOD DR
    MINNETONKA, MN
    ZIP 55345
  • Phone: (952) 239-9369

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NPI Details

MR. Tim John Dornisch is a home modifications contractor in Minnetonka, MN. The provider is a contractor who makes modifications to homes to accommodate a health condition. MR. Tim John Dornisch NPI is 1275390791. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4441 GAYWOOD DR
MINNETONKA, MN
ZIP 55345-809
Phone: (952) 239-9369

The enumeration date for this NPI number is 3/1/2024 and was last updated on 3/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171WH0202XContractorHome ModificationsBC692986MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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