NPI 1568554137 · live from the CMS NPI Registry
Timothy Blackerby, D.P.M.
Podiatrist in Adrian, MI. National Provider Identifier 1568554137, active.
NPI record
| NPI | 1568554137 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 5415 Treat Hwy, Adrian, MI 49221 |
| Practice phone | 517-263-5813 |
| Enumerated | September 29, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | L651126 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.