Individual
TIMOTHY J SLOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3413 WOODS EDGE DRIVE, OKEMOS, MI 48864
(517) 349-3303
(547) 349-4374
Mailing address
3413 WOODS EDGE DRIVE, OKEMOS, MI 48864
(517) 349-3303
(547) 349-4374
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601003787
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601003787
STATE LICENSE
MI
Enumeration date
08/05/2007
Last updated
04/02/2009
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