Individual
DR. TIMOTHY D ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3127 ROYAL HANNA DR NE, ROCKFORD, MI 49341-7525
(616) 866-6111
Mailing address
3127 ROYAL HANNA DR NE, ROCKFORD, MI 49341-7525
(616) 866-6111
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003615
MI
Other
Enumeration date
10/11/2007
Last updated
07/21/2010
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