Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TIMOTHY J MICEK, M.D.
ActiveMR. TIMOTHY J MICEK, M.D. is a Orthopaedic Surgery healthcare provider located in SOUTHAVEN, Mississippi. NPI 1124106133 is currently active in the NPPES registry. Verify at CMS.
Orthopaedic Surgery · SOUTHAVEN, MS
Registration Details
- NPI Number
- 1124106133
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 1, 2006 (19.798889379664 yrs)
- Last Updated
- Jul 10, 2017
- Licenses
-
64863 (GA)MD0000045338 (TN)23185 (MS)
Practice Information
- Address
-
3964 GOODMAN RD ESUITE 128SOUTHAVEN, MS, 386728761Browse MS providers · Browse ZIP 38672
- Phone
- 6624207350
- Fax
- 6628745214
- Primary Specialty
-
Orthopaedic Surgery
207X00000X
- Additional Specialty
- Orthopaedic Surgery
- Additional Specialty
- Orthopaedic Surgery
Other Orthopaedic Surgery Providers in SOUTHAVEN, MS
| Name | Credential | NPI |
|---|---|---|
| GREGORY D DABOV | M.D. | 1699761387 |
| DR. JOHN TOM MORRIS JR. | M.D. | 1407813736 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.