TIMOTHY ROBERT LA GASSE

PETOSKEY, MI
NPI1013424191
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: MI  4704249602)
Enumeration Date2018-01-10
Last Update Date2018-01-10
Business Address
TIMOTHY ROBERT LA GASSE NP
401 CONNABLE AVE
PETOSKEY, MI 49770
Phone number: 231-487-4520
Mailing Address
TIMOTHY ROBERT LA GASSE NP
PO BOX 185
WALLOON LAKE, MI 49796-0185
Phone number: 231-535-6067
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