Organization
TIMOTHY OCONNOR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY OCONNOR MD (MEDICAL DOCTOR)
(906) 253-9374
Entity
Organization
Contact information
Practice address
333 MAGAZINE ST, STE 102, SAULT SAINTE MARIE, MI 49783-1867
(906) 253-9374
(906) 253-9002
Mailing address
333 MAGAZINE ST, STE 102, SAULT SAINTE MARIE, MI 49783-1867
(906) 253-9374
(906) 253-9002
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
4301058216
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4249083
—
MI
Enumeration date
09/23/2010
Last updated
09/23/2010
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