| Timothy St John, DPM | |
|
3179 W Houghton Lake Dr, Houghton Lake, MI 48629-9256 | |
| (989) 366-8332 | |
| Not Available |
| Full Name | Timothy St John |
|---|---|
| Gender | Male |
| Speciality | Podiatrist |
| Location | 3179 W Houghton Lake Dr, Houghton Lake, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871570416 | NPI | - | NPPES |
| 3119585 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | TS001531 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy St John, DPM 4310 Leonard St Nw, Suite 103, Walker, MI 49534-8447 Ph: (616) 453-6329 | Timothy St John, DPM 3179 W Houghton Lake Dr, Houghton Lake, MI 48629-9256 Ph: (989) 366-8332 |
Ankle & Foot Associates Of Northern Michigan Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5213 W Houghton Lake Dr, Houghton Lake, MI 48629 Phone: 989-275-3668 | |
Timothy C St. John Ii Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3179 W Houghton Lake Dr, Houghton Lake, MI 48629 Phone: 989-366-8332 |