Timothy Allen Nydam
ActiveMichigan license EMC0009322
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- EMC0009322
- Status
- Active
- First issued
- April 20, 2026
- Expires
- April 20, 2029
- License holder
- Timothy Allen Nydam
- Entity type
- Individual
Classifications
- Expedited Compact (Health) Other Health Care
Contact
701 W Opal Ln
Hartford, SD 57033
Hartford, SD 57033