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Organization
TIMOTHY J. TOBOLIC, MD, PLLC
Active
Organization
TIMOTHY J. TOBOLIC, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY TOBOLIC MD (OWNER)
(616) 334-3374
Entity
Organization
Contact information
Practice address
7740 BYRON CENTER AVE SW, SUITE 202, BYRON CENTER, MI 49315-6928
(616) 217-5100
(616) 217-5105
Mailing address
7740 BYRON CENTER AVE SW, SUITE 202, BYRON CENTER, MI 49315-6928
(616) 217-5100
(616) 217-5105
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301038030
MI
Other
Enumeration date
05/20/2010
Last updated
12/14/2010
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