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Organization
TIMOTHY R WOLTANSKI, M.D. P.C.
Active
Organization
TIMOTHY R WOLTANSKI, M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY R WOLTANSKI MD (PRESIDENT)
(231) 757-3743
Entity
Organization
Contact information
Practice address
202 THOMAS ST, SCOTTVILLE, MI 49454-1064
(231) 757-3743
(231) 757-0071
Mailing address
202 THOMAS ST, SCOTTVILLE, MI 49454-1064
(231) 757-3743
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TW041356
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1498209
—
MI
Enumeration date
09/11/2007
Last updated
12/24/2013
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