Timothy John Thewes

NPI #1467814558 in Redford, Michigan

Provider Information

NPI Number: 1467814558
Entity Type: Individual
Name: Timothy John Thewes
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Mar 28, 2016
Last Updated: Aug 20, 2020

Practice Location

Address: 25225 W 7 MILE RD # 100
City: Redford
State: Michigan
ZIP Code: 48240-1462
Phone: (248) 408-7048

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist	122300000X	Primary

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