Individual
TIMOTHY MARX
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
30200 TELEGRAPH RD, SUITE 220, BINGHAM FARMS, MI 48025-4502
(248) 258-5058
Mailing address
1830 MARIE CIR, BLOOMFIELD HILLS, MI 48302-0747
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704192599
MI
Other
Enumeration date
04/25/2006
Last updated
09/19/2016
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