Individual
TIMOTHY O'SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1500 E. MEDICAL CENTER DRIVE, MEDINN C213, SPC 5831, ANN ARBOR, MI 48109-5831
(734) 936-5950
Mailing address
1500 E. MEDICAL CENTER DRIVE, MEDINN C213, SPC 5831, ANN ARBOR, MI 48109-5831
(734) 936-5950
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021966
MI
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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