Individual
TIMOTHY LEWIS HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
851 DEER RUN LAKE RD, HOLLY, MI 48442-1570
(810) 358-5636
Mailing address
851 DEER RUN LAKE RD, HOLLY, MI 48442-1570
(810) 358-5636
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
4704271120
MI
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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