Provider Demographics
NPI:1780683680
Name:GEERLINGS, TIMOTHY LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:LEE
Last Name:GEERLINGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:200 TAFT ST
Mailing Address - Street 2:
Mailing Address - City:ZEELAND
Mailing Address - State:MI
Mailing Address - Zip Code:49464-1692
Mailing Address - Country:US
Mailing Address - Phone:616-772-6722
Mailing Address - Fax:616-772-9299
Practice Address - Street 1:200 TAFT ST
Practice Address - Street 2:
Practice Address - City:ZEELAND
Practice Address - State:MI
Practice Address - Zip Code:49464-1692
Practice Address - Country:US
Practice Address - Phone:616-772-6722
Practice Address - Fax:616-772-9299
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301037828207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIA77848Medicare UPIN