Individual
JONATHAN CHRISTOPHER TIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
219 BIDWELL ST, TECUMSEH, MI 49286-1408
(734) 845-1353
Mailing address
219 BIDWELL ST, TECUMSEH, MI 49286-1408
(734) 845-1353
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609135748
—
MI
Enumeration date
08/08/2017
Last updated
07/21/2022
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