Doctor Name: | MR. TIMOTHY JAMES SAYERS |
NPI Number: | 1558419671 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 5601001761 |
Business Practice Address: | 515 Main St Dowagiac, MI - 490471710 |
Business Phone Number: | 2697828013 |
Business Fax Number: | 2697828013 |
Mailing Address: | 62430 Locust Rd Lot 69, SOUTH BEND |
State: | IN |
Postal Code: | 466149794 |
Phone Number: | 5742319704 |
Fax Number: | 5742319704 |
NPI Enumeration Date: | 01/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 5601001761 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |