Individual
MR. TIMOTHY JAMES HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.C., H.I.S.
Contact information
Practice address
205 S MADISON ST, TRAVERSE CITY, MI 49684-2321
(231) 947-2420
(231) 947-3009
Mailing address
4237 JERI RD, INTERLOCHEN, MI 49643-9621
(231) 275-7165
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3501001790
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54OB80260
PROVIDER PIN NUMBER
MI
Enumeration date
04/17/2007
Last updated
07/08/2007
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