Timothy John Thewes
Timothy John Thewes is a Student in an Organized Health Care Education/Training Program in Redford, Michigan. Works from 2 locations. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
Redford, MINo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 — (313) 494-6660
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 2901022039 (MI) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1467814558 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 28, 2016 |
| Last updated in NPPES | August 20, 2020 |
| Certification date | August 20, 2020 |
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Ronda Jackson
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Madison Kammer
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Mrs. Rabab Koussan, PA-C
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-
Shayla Shuck
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