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Individual

DR. TIMOTHY J CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1183 N PONTIAC TRL, WALLED LAKE, MI 48390-3138
(248) 624-6111
(248) 624-6112
Mailing address
1183 N PONTIAC TRL, WALLED LAKE, MI 48390-3138
(248) 624-6111
(248) 624-6112

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007473
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1008872
MI
Enumeration date
12/11/2006
Last updated
06/09/2025
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