Individual
DR. TIMOTHY SCOTT JARVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2325 SUMMIT PARK DR, PETOSKEY, MI 49770-8685
(231) 348-3600
(231) 348-3677
Mailing address
2325 SUMMIT PARK DR, PETOSKEY, MI 49770-8685
(231) 348-3600
(231) 348-3677
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301060047
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180045754
RR MEDICARE
MI
01
—
1802400811
BCBS MICHIGAN
MI
05
—
4441872
—
MI
Enumeration date
07/10/2006
Last updated
06/26/2025
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