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MR. TIMOTHY PAUL MCCOY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
900 PEELER ST, KALAMAZOO, MI 49008-2300
(269) 342-7833
Mailing address
14526 CARMEL DR, STERLING HEIGHTS, MI 48312-4306
(586) 863-8079

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704292961
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704292961
MI

Other

Enumeration date
12/27/2019
Last updated
05/17/2023
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