Individual
TIMOTHY W CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
300 N PATTERSON RD, REED CITY, MI 49677-8041
(231) 796-8691
Mailing address
4100 EMBASSY DR SE STE 200, GRAND RAPIDS, MI 49546-2416
(616) 975-1845
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
5601004687
MI
Other
Enumeration date
05/10/2006
Last updated
07/06/2023
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