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Individual

TIMOTHY JOHN ZMUDKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CF-SLP

Contact information

Practice address
2950 LAFRANIER RD, TRAVERSE CITY, MI 49686-4918
(231) 947-0506
Mailing address
2261 TREMONT BLVD NW, GRAND RAPIDS, MI 49504-4709
(616) 826-5036

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005744
MI

Other

Enumeration date
04/04/2018
Last updated
04/04/2018
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