Tim Charles Desano
Contractor · Gibraltar, MI
NPI number
1356578108
Practice location
30808 Island DrGibraltar, MI 48173-9547
- Phone
- (734) 915-1270
- Fax
- (734) 250-7377
NPI record
- NPI
- 1356578108
- Entity type
- Individual (Type 1)
- Enumeration date
- June 19, 2009
- Last updated
- November 13, 2009
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor Primary | 171W00000X |
— | — |
About Tim Desano
Tim Charles Desano is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 30808 Island Dr, Gibraltar, MI 48173-9547. The NPI number 1356578108 was assigned on June 19, 2009 and the record was last updated on November 13, 2009.
Frequently asked questions
What is the NPI number of Tim Charles Desano?
The NPI number is 1356578108.
What is the phone number of Tim Desano?
The phone number listed for the practice location is (734) 915-1270.
Where is Tim Desano located?
30808 Island Dr, Gibraltar, MI 48173-9547.
What is the taxonomy code for Tim Desano?
The primary taxonomy code is 171W00000X – Contractor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.