Timothy L Beechnau D.O.

NPI 1083619936 - Family Medicine - 207Q00000X

NPI Details
NPI 1083619936
Gender Male
Enumeration Date 06/16/2005
Last Updated 03/08/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
12520 CROCKERY CREEK DR.
RAVENNA MI, 49451, US
Phone (231) 853-6725
Fax (231) 853-6089
Business Location
PO BOX 179
RAVENNA MI, 49451-0179, US
Phone (231) 853-6725
Fax (231) 853-6089
Toxanomy
Taxonomy Code 207Q00000X
License State Michigan
License Number 008430
Remove 1083619936 NPI Number
 

According to our database, Dr. Timothy L Beechnau D.O. NPI is 1083619936, taxonomy code is 207Q00000X and license number is 008430, license state is located at Michigan. Timothy L Beechnau D.O. physically located at 12520 Crockery Creek Dr., Ravenna MI, 49451. NPI Number Timothy L Beechnau D.O. has the Individual type.

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1083619936 NPI number is provided on an as is basis without warranty of any kind. 1083619936 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy L Beechnau D.O. are for informational purposes only.