Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TIM CHARLES DESANO
ActiveMR. TIM CHARLES DESANO is a Contractor healthcare provider located in GIBRALTAR, Michigan. NPI 1356578108 is currently active in the NPPES registry. Verify at CMS.
Contractor · GIBRALTAR, MI
Registration Details
- NPI Number
- 1356578108
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2009 (17.16214387753 yrs)
- Last Updated
- Nov 13, 2009
Practice Information
- Address
-
30808 ISLAND DRGIBRALTAR, MI, 481739547Browse MI providers · Browse ZIP 48173
- Phone
- 7349151270
- Fax
- 7342507377
- Primary Specialty
-
Contractor
171W00000X
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.