Individual
TROY TIMKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5300 ELLIOTT DR, YPSILANTI, MI 48197-8632
(734) 434-6262
(734) 712-2820
Mailing address
5300 ELLIOTT DR, YPSILANTI, MI 48197-8632
(734) 434-6262
(734) 712-2820
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4704195316
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704195316
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104200340
—
MI
Enumeration date
07/04/2006
Last updated
02/26/2026
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