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

Timothy John Stephens

Individual provider Home Modifications Contractor · NPI 1053077024

Timothy John Stephens is a Home Modifications Contractor in Big Lake, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2021

Practice location Address checks out

22251 169th St NW
Big Lake, MN 55309-8220
Phone: (612) 710-8451
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 BC767187 (MN)

Record details

NPI number1053077024
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 13, 2021
Last updated in NPPESNovember 13, 2021
Certification dateNovember 13, 2021
Mailing address22251 169th St Nw, Big Lake, MN 55309-8220

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