Timothy James Huppenbauer, MS, PA-C

NPI #1912620212 in Grosse Pointe, Michigan

Provider Information

NPI Number: 1912620212
Entity Type: Individual
Name: Timothy James Huppenbauer, MS, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: MS, PA-C
Enumeration Date: Sep 21, 2022
Last Updated: Mar 3, 2023

Practice Location

Address: 468 CADIEUX RD
City: Grosse Pointe
State: Michigan
ZIP Code: 48230-1507
Phone: (313) 473-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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