NPI 1598718215

Timothy Formanek, PA

Practitioner Physician Assistant Marion, IA

Practice location

Address: 3701 Katz Dr, Marion, IA 52302-3871
Phone: (319) 373-3022

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 131043 (IA)

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Registry record

NPI: 1598718215
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 May 2006
Record last updated: 10 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.