Individual
TIMOTHY JOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
335 KEENEN CT, HOWELL, MI 48855-7117
(517) 513-4883
Mailing address
335 KEENEN CT, HOWELL, MI 48855-7117
(517) 513-4883
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704365484
MI
363LF0000X
Family Nurse Practitioner
4704365484
MI
Other
Enumeration date
09/12/2024
Last updated
11/11/2024
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