Individual
DR. JULIE THERIAULT TIMPERLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
702 N CENTER AVE, GAYLORD, MI 49735-1508
(989) 448-2325
(989) 448-2325
Mailing address
PO BOX 464, GAYLORD, MI 49734-0464
(989) 448-2325
(989) 448-2326
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004115
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900F90023
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/10/2007
Last updated
04/23/2012
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