| Sandra Timoszyk, CNP | |
|
301 W Franklin St, Clinton, MI 49236-9744 | |
| (517) 456-7449 | |
| (517) 456-6059 |
| Full Name | Sandra Timoszyk |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 301 W Franklin St, Clinton, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821180084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704161527 (Michigan) | Primary |
| Entity Name | Iha Health Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Timoszyk, CNP 2100 Commonwealth Blvd, Suite 202, Ann Arbor, MI 48105-1593 Ph: () - | Sandra Timoszyk, CNP 301 W Franklin St, Clinton, MI 49236-9744 Ph: (517) 456-7449 |
Mary Pomerville, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 W Franklin St, Clinton, MI 49236 Phone: 517-456-7449 Fax: 517-456-6059 | |
Sherry Bumpus, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1671 W Michigan Ave, Suite A, Clinton, MI 49236 Phone: 517-456-4171 Fax: 517-456-4600 | |
Laurie Boyd, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1671 W Michigan Ave, Suite A, Clinton, MI 49236 Phone: 517-456-4171 Fax: 517-456-4600 | |
Mr. Craig Brockman, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11775 Tecumseh Clinton Rd, Clinton, MI 49236 Phone: 517-456-7449 Fax: 517-456-6059 |