Individual
KAREN SUE TIMMERMANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2900 BRADFORD ST NE, GRAND RAPIDS, MI 49525-6427
(616) 885-5000
(616) 913-9025
Mailing address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 885-5000
(616) 913-9025
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4601003685
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982921
—
MI
Enumeration date
11/07/2005
Last updated
05/19/2017
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