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1487155024
TIMOTHY O GATES
SOUTHFIELD, MI
NPI
1487155024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704297139)
Enumeration Date
2018-02-27
Last Update Date
2020-01-23
Business Address
TIMOTHY O GATES FNP-BC
16250 NORTHLAND DR STE 369
SOUTHFIELD, MI 48075-1524
Phone number: 248-798-8433
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Mailing Address
TIMOTHY O GATES FNP-BC
16250 NORTHLAND DR STE 369
SOUTHFIELD, MI 48075-5208
Phone number: 248-842-3755
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