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Contact Information

TIMOTHY N TETZLAFF, DO
560 OSBORN BOULEVARD
SAULT STE. MARIE, MI49783
 Phone: 906-632-1800
 Fax: 906-632-2199
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for TIMOTHY N TETZLAFF · (Male)

NPI Number 1326040544
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/01/2005
Last updated 03/07/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MI License # TT007907
  • MI Medicaid 2694733
Hospital affiliation(s)
  • CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL - (Acute Care)
    500 OSBORN BLVD
    SAULT SAINTE MARIE, MI 49783
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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