Individual
TIMOTHY J DERWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
622 W SUPERIOR ST, MUNISING, MI 49862-1329
(906) 387-4721
(906) 387-4727
Mailing address
622 W SUPERIOR ST, MUNISING, MI 49862-1329
(906) 387-4721
(906) 387-4727
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/20/2009
Last updated
03/20/2009
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