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1841514437
TIMOTHY LOREN WIATER
ROYAL OAK, MI
NPI
1841514437
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501015108)
Enumeration Date
2010-03-25
Last Update Date
2015-04-14
Business Address
Dr. TIMOTHY LOREN WIATER DPT
4401 W 13 MILE RD
ROYAL OAK, MI 48073-6516
Phone number: 248-566-3525
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Mailing Address
Dr. TIMOTHY LOREN WIATER DPT
4401 W 13 MILE RD
ROYAL OAK, MI 48073-6516
Phone number: 248-566-3525
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