Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tymi Kathleen Staub

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1023794096

Tymi Kathleen Staub is a Student in an Organized Health Care Education/Training Program in East Lansing, Michigan. Licensed in Michigan. Registered with an NPI since 2023.

Licensed in
MI
In the registry since
2023
Specialties on file
2

Practice location Address checks out

965 Wilson Rd Rm A233
East Lansing, MI 48824-6410
Phone: (517) 353-4362
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 4351055212 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1023794096
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 26, 2023
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025
Mailing addressCmed 1632 Stone St., Saginaw, MI 48602

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