Timothy L Mills (NPI# 1053642660, PAC ID# 1557668480) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1053642660 |
| PAC ID by PECOS | 1557668480 |
| Professional Enrollment ID | I20160321001535 |
| Full Name | Timothy L Mills |
| Organization Legal Name | KRISTINE KOETJE MA, PC |
| Address |
17224 Van Wagoner Rd Spring Lake MI 49456-9702 |
| Phone Number | 6162962130 |
| Gender | M |
| Graduation Year | 1995 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Group Practice PAC ID | 3375701873 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 | 6162962130 | KRISTINE KOETJE MA, PC |
| Organization Legal Name | KRISTINE KOETJE MA, PC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen A Faber | Clinical Social Worker | Kristine Koetje Ma, PC | 1388 Baldwin St, Suite A, Jenison, MI 49428-8937 |
| Michael Scott Brady | Psychologist, Clinical | Kristine Koetje Ma, PC | 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 |
| Catherine E Waddilove | Clinical Social Worker | Kristine Koetje Ma, PC | 1388 Baldwin St, Suite A, Jenison, MI 49428-8937 |
| Douglas A Moorhead | Psychologist, Clinical | Kristine Koetje Ma, PC | 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 |
| Amy B Varnado | Clinical Social Worker | Kristine Koetje Ma, PC | 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 |
| Thomas D Mullens | Clinical Social Worker | Kristine Koetje Ma, PC | 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 |
| Dalene R Degraaf | Psychologist, Clinical | Kristine Koetje Ma, PC | 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 |
| Street Address |
17224 VAN WAGONER RD |
| City | SPRING LAKE |
| State | MI |
| Zip | 49456-9702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Scott Brady | Psychologist, Clinical | Kristine Koetje Ma, PC | 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 |
| Douglas A Moorhead | Psychologist, Clinical | Kristine Koetje Ma, PC | 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 |
| Amy B Varnado | Clinical Social Worker | Kristine Koetje Ma, PC | 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 |
| Thomas D Mullens | Clinical Social Worker | Kristine Koetje Ma, PC | 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 |
| Dalene R Degraaf | Psychologist, Clinical | Kristine Koetje Ma, PC | 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel C Gleason | Chiropractic | 19084 N Fruitport Rd, Gleason Chiropractic Center, Spring Lake, MI 49456-1163 | |
| Daniel John Weessies | Chiropractic | 19084 N Fruitport Rd, Spring Lake, MI 49456-1163 | |
| Joseph J Auffrey Jr. | Psychologist, Clinical | 19100 N Fruitport Rd, Spring Lake, MI 49456-1165 | |
| Bruce W Dudley | Physical Therapy | Shoreline Sport and Spine PC | 18000 Cove St, Spring Lake, MI 49456-1200 |
| Jennifer Marie Mccann-bauer | Physical Therapy | Shoreline Sport and Spine PC | 18000 Cove St, Suite 202, Spring Lake, MI 49456-1383 |
| Mary E Lomonaco Harig | Physical Therapy | Shoreline Sport and Spine PC | 18000 Cove St, Suite 202, Spring Lake, MI 49456-1383 |
| David A Buursma | Physical Therapy | Shoreline Sport and Spine PC | 18000 Cove St, Suite 202, Spring Lake, MI 49456-1383 |
| Brooke A Meinema | Physical Therapy | Shoreline Sport and Spine PC | 18000 Cove St, Suite 202, Spring Lake, MI 49456-1383 |
| Jeffrey Clark | Physical Therapy | Shoreline Sport and Spine PC | 18000 Cove St, Suite 202, Spring Lake, MI 49456-1383 |
| Michael J Klobucher | Physical Therapy | Shoreline Sport and Spine PC | 18000 Cove St, Suite 202, Spring Lake, MI 49456-1383 |
| Find all physicians in zip 49456 | |||
| City | SPRING LAKE |
| Zip Code | 49456 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | SPRING LAKE + CLINICAL PSYCHOLOGIST |
Please comment or provide details below to improve the information on Timothy L Mills.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.