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Taylor M Timoteo

Orthopaedic Surgery in Clinton Township, MI. Individual provider (NPI-1).

NPI number1407484116
StatusActive
Last updated in NPPESMar 23, 2021

Details

NPI
1407484116
Entity type
Individual (NPI-1)
Name
Taylor M Timoteo
Sex
Female
Sole proprietor
No
Enumeration date
Mar 29, 2020
Certification date
Mar 23, 2021
Last updated
Mar 23, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic Surgery1407484116MIYes

Practice location

15855 19 Mile Rd
Clinton Township, MI 48038-3504

Phone 586-263-2300

Mailing address

15855 19 Mile Rd
Clinton Township, MI 48038-3504

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