Individual
DR. RODERIC E TINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14734 PARK AVE, CHARLEVOIX, MI 49720-1927
(231) 547-6554
(231) 547-1179
Mailing address
14734 PARK AVE, CHARLEVOIX, MI 49720-1927
(231) 547-6554
(231) 547-1179
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
RT 046881
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3495977
—
MI
Enumeration date
08/18/2005
Last updated
07/02/2014
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