Individual
MR. TIMO EDWARD ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15601 NORTHLINE RD, SOUTHGATE, MI 48195-2334
(734) 785-7705
(734) 285-5419
Mailing address
15601 NORTHLINE RD, SOUTHGATE, MI 48195-2334
(734) 785-7705
(734) 285-5419
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/13/2011
Last updated
04/03/2013
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