Lakewood Family Medicine Plc

NPI 1073609392 - Family Medicine - 207Q00000X

NPI Details
NPI 1073609392
Enumeration Date 10/05/2006
Last Updated 12/14/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TIMOTHY VICTOR TIMOTHY
Position PHYSICIAN
Phone (616) 396-6516
Fax (616) 396-2513
Practice Location
382 N 120TH AVE
HOLLAND MI, 49424-2169, US
Phone (616) 396-6516
Fax (616) 396-2513
Business Location
382 N 120TH AVE
HOLLAND MI, 49424-2169, US
Phone (616) 396-6516
Fax (616) 396-2513
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Lakewood Family Medicine Plc NPI is 1073609392, taxonomy code is 207Q00000X Lakewood Family Medicine Plc physically located at 382 N 120th Ave, Holland MI, 49424-2169. NPI Number 1033115704 has the healthcare provider type.

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1073609392 NPI number is provided on an as is basis without warranty of any kind. 1073609392 is maintained by the National Plan & Provider Enumeration System. The contents of Lakewood Family Medicine Plc are for informational purposes only.