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1114696069
TIMOTHY RYAN SHORT
ADRIAN, MI
NPI
1114696069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704335486)
Enumeration Date
2021-09-13
Last Update Date
2023-11-03
Business Address
TIMOTHY RYAN SHORT NP-C
146 S CHARLES ST
ADRIAN, MI 49221-2556
Phone number: 517-366-5000
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Mailing Address
TIMOTHY RYAN SHORT NP-C
146 S CHARLES ST
ADRIAN, MI 49221-2556
Phone number: 517-366-5000
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