Individual
TIMOTHY ST JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3179 W HOUGHTON LAKE DR, HOUGHTON LAKE, MI 48629-9256
(989) 366-8332
Mailing address
4310 LEONARD ST NW, SUITE 103, WALKER, MI 49534-8447
(616) 453-6329
(616) 453-1725
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
TS001531
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3119585
—
MI
Enumeration date
12/24/2005
Last updated
01/04/2010
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