Individual
TIMOTHY WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCHW
Contact information
Practice address
3970 14TH ST, ECORSE, MI 48229-1330
(313) 452-5488
Mailing address
3970 14TH ST, ECORSE, MI 48229-1330
(313) 452-5488
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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