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Individual

DR. TIMOTHY JAMES FIFE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1000 MONROE AVE NW, GRAND RAPIDS, MI 49503-1455
(616) 732-6200
(616) 732-6255
Mailing address
1000 MONROE AVE NW, GRAND RAPIDS, MI 49503-1455
(616) 732-6200
(616) 732-6255

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
5101011807
MI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
5101011807
MI

Other

Enumeration date
01/04/2006
Last updated
12/13/2013
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