Gezon, Timothy Mark

Gezon, Timothy Mark is an individual health care provider with primary practice located at 602 Michigan Ave , Holland MI 49423. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Gezon, Timothy Mark can be contacted via phone (616) 394-3522.

Contact Information

Primary practice address
602 Michigan Ave Holland MI 49423
Phone: (616) 394-3522
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4301406293 Michigan

Profile Details

NPI number 1770541328
LBN Legal business name Gezon, Timothy Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jun 30th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1770541328 NPPES
Michigan Other 930001437 RAILROAD MEDICARE

Popular Providers