Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Tim John Dornisch

Individual provider Home Modifications Contractor · NPI 1275390791

Mr. Tim John Dornisch is a Home Modifications Contractor in Minnetonka, Minnesota. Licensed in Minnesota. Registered with an NPI since 2024.

Licensed in
MN
In the registry since
2024

Practice location Address checks out

4441 Gaywood Dr
Minnetonka, MN 55345-3809
Phone: (952) 239-9369
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Modifications Contractor (primary) Taxonomy 171WH0202X · Licence BC692986 (MN)

Record details

NPI number1275390791
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 1, 2024
Last updated in NPPESMarch 1, 2024
Certification dateMarch 1, 2024
Mailing address4441 Gaywood Dr, Minnetonka, MN 55345-3809

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