NPI 1124106133

Timothy J Micek, MD

Practitioner Orthopaedic Surgery Physician Southaven, MS

Practice location

Address: 3964 Goodman Rd E Suite 128, Southaven, MS 38672-8761
Phone: (662) 420-7350
Fax: (662) 874-5214
Mailing address: 3964 Goodman Rd STE 128, Southaven, MS 38672-6494

Registered specialties (3)

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 23185 (MS)

Other Orthopaedic Surgery providers in Mississippi →

Orthopaedic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 64863 (GA)

Orthopaedic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence MD0000045338 (TN)

Registry record

NPI: 1124106133
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Nov 2006
Record last updated: 10 Jul 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.