Individual
MR. TIMMOTHY FARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA.
Contact information
Practice address
205 OSCEOLA ST, LAURIUM, MI 49913-2134
(906) 337-6500
(906) 337-6597
Mailing address
205 OSCEOLA ST, LAURIUM, MI 49913-2134
(906) 337-6500
(906) 337-6597
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601002613
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601002613
MICHIGAN LICENSE NUMBER
MI
Enumeration date
06/28/2006
Last updated
03/07/2023
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