Provider Demographics
NPI:1396127510
Name:TOUT, TIMOTHY II
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:
Last Name:TOUT
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4150 ELMHURST RD
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48328-4029
Mailing Address - Country:US
Mailing Address - Phone:248-830-0197
Mailing Address - Fax:
Practice Address - Street 1:4150 ELMHURST RD
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48328-4029
Practice Address - Country:US
Practice Address - Phone:248-830-0197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-24
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist