Tetzlaff, Timothy Norman

Tetzlaff, Timothy Norman is an individual health care provider with primary practice located at 560 Osborn Boulevard , Sault Sainte Marie MI 49783. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Tetzlaff, Timothy Norman can be contacted via phone (906) 632-1800.

Contact Information

Primary practice address
560 Osborn Boulevard Sault Sainte Marie MI 49783
Phone: (906) 632-1800
Fax: (906) 632-2199
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X TT007907 Michigan

Profile Details

NPI number 1326040544
LBN Legal business name Tetzlaff, Timothy Norman
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Mar 7th, 2013 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326040544 NPPES
Michigan MEDICAID 2694733

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