Individual
MR. MARK K TIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1020 MADISON ST, BRIGHTON, MI 48116-1350
(810) 333-1877
Mailing address
1020 MADISON ST, BRIGHTON, MI 48116-1350
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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