Individual
MR. TIMOTHY JOSEPH RAYBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPSS
Contact information
Practice address
26184 OUTER DR, LINCOLN PARK, MI 48146-2084
(313) 389-7500
Mailing address
26184 OUTER DR, LINCOLN PARK, MI 48146-2084
(313) 389-7500
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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