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Individual

TIMOTHY LAURIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 246-6000
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(138) 744-8063

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704302316
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704302316
MI

Other

Enumeration date
10/30/2013
Last updated
12/04/2023
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