Organization
TIMOTHY S. JARVI MD PC
Active
Organization
TIMOTHY S. JARVI MD PC
Active
Other names
Summit Park Optical
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY S JARVI MD (OWNER)
(231) 348-3636
Entity
Organization
Contact information
Practice address
2325 SUMMIT PARK DR, SUITE A, PETOSKEY, MI 49770-8685
(231) 348-3636
(231) 348-3677
Mailing address
2325 SUMMIT PARK DR, SUITE A, PETOSKEY, MI 49770-8685
(231) 348-3636
(231) 348-3677
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4301060047
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4928582
—
MI
Enumeration date
04/18/2007
Last updated
05/05/2010
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