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1730512823
TIMOTHY ALLEN PEBBLES
GRAND RAPIDS, MI
NPI
1730512823
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601005222)
Enumeration Date
2013-08-13
Last Update Date
2021-02-25
Business Address
Mr. TIMOTHY ALLEN PEBBLES PA-C
35 MICHIGAN ST NE STE 3003
GRAND RAPIDS, MI 49503
Phone number: 616-267-8150
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Mailing Address
Mr. TIMOTHY ALLEN PEBBLES PA-C
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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