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Contact Information

TIMOTHY ADAMOVICH, CRNA
5450 FORT ST
TRENTON, MI48183-4601
 Phone: 734-671-3883
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for TIMOTHY ADAMOVICH · (Male)

NPI Number 1417234717
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 11/15/2011
Last updated 11/15/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4704223117
Hospital affiliation(s)
  • OAKWOOD SOUTHSHORE MEDICAL CENTER - (Acute Care)
    5450 FORT STREET
    TRENTON, MI 48183
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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