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

Timothy John Blackowikak, LPN

Individual provider Licensed Practical Nurse · NPI 1750701272

Timothy John Blackowikak, LPN is a Licensed Practical Nurse in Dundas, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2014
Specialties on file
2
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

212 Forest Ave N
Dundas, MN 55019-3941
Phone: (612) 423-5639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence L36999-0 (MN)
Licensed Vocational Nurse Taxonomy 164X00000X · Licence L36999-0 (MN)

Record details

NPI number1750701272
Entity typeIndividual (Type 1)
GenderMale
Credentials LPN
Sole proprietorYes
NPI enumeratedApril 23, 2014
Last updated in NPPESApril 23, 2014