Organization
TIMOTHY S JARVI MD PC
Active
Other names
Eye Specialists of Northern Michigan
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY SCOTT JARVI MD (OWNER)
(231) 348-3600
Entity
Organization
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
4301960047
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180045754
RAIL ROAD MEDICARE
MA
01
—
1802400811
BCBS MICHIGAN
MI
05
—
4441872
—
MI
Enumeration date
07/04/2006
Last updated
01/23/2008
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