Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | TU010102 | MI |
Y | 103T00000X | Psychologist | TU010102 | MI |
NPI | 1013960459 |
---|---|
Provider Name | Timothy J Uhlmann |
First Address | Hillman, MI 49746-0427 |
Second Address | Hillman, MI 49746-8818 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2006 |
Last Update Date | 23/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
R71435 | (02) |