Individual
DR. THERESA MARY TIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
4301508730
MI
208000000X
Pediatrics Physician
2020010314
MO
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
2020010314
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200061176
—
MO
Enumeration date
06/21/2017
Last updated
08/01/2023
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