Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TIMOTHY RUSSEL JELSEMA, MD
ActiveDR. TIMOTHY RUSSEL JELSEMA, MD is a Sports Medicine healthcare provider located in BIG RAPIDS, Michigan. NPI 1871944397 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · BIG RAPIDS, MI
Registration Details
- NPI Number
- 1871944397
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2016 (10.08710394927 yrs)
- Last Updated
- Feb 17, 2021
- Licenses
-
4301110558 (MI)4301110558 (MI)
Practice Information
- Address
-
705 OAK ST UNIT 11BIG RAPIDS, MI, 493073108Browse MI providers · Browse ZIP 49307
- Phone
- 2315921002
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
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.