| Organization Name: | TIMOTHY S. JARVI MD PC |
| NPI Number: | 1134345036 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TIMOTHY S JARVI (OWNER) |
| Mailing Address: | 2325 Summit Park Dr Suite A Petoskey |
| State: | MI US |
| Postal Code: | 497708685 |
| Phone Number: | 2313483636 |
| Fax Number: | 2313483677 |
| NPI Enumeration Date: | 04/18/2007 |
| NPI Last Update Date: | 05/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |