Individual
DR. TIMOTHY DARYLL DEBOARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
204 E WEST ST, STURGIS, MI 49091-1444
(269) 651-9448
(269) 659-3228
Mailing address
204 E WEST ST, STURGIS, MI 49091-1444
(269) 651-9448
(269) 659-3228
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007577
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44-30215
PHP
MI
01
—
950G510810
BCN ID
MI
Enumeration date
05/01/2006
Last updated
06/19/2008
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