Provider Demographics
NPI:1922243781
Name:DEHR, TIMOTHY (DC)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:
Last Name:DEHR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2330 E STADIUM BLVD
Mailing Address - Street 2:#3
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-4820
Mailing Address - Country:US
Mailing Address - Phone:734-929-4523
Mailing Address - Fax:734-929-4538
Practice Address - Street 1:2330 E STADIUM BLVD
Practice Address - Street 2:#3
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-4820
Practice Address - Country:US
Practice Address - Phone:734-929-4523
Practice Address - Fax:734-929-4538
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-09
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009501111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor