Individual
TIMOTHY MCNIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
3536 HIGHWAY 6 # 150, SUGAR LAND, TX 77478-4401
(810) 513-1188
Mailing address
509 S JEFFERSON ST, SAGINAW, MI 48604-1415
(810) 513-1188
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
173378
MI
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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