Individual
MR. TIMOTHY MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
906 E BELLOWS ST, MT PLEASANT, MI 48858-3940
(231) 535-2822
Mailing address
4446 REDSTONE RD, SAINT LOUIS, MI 48880-9122
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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