Timothy Patrick Visclosky
Pediatrician
1500 E. Medical Center Drive D3230 Mpb, Spc 5718
Ann Arbor
, Michigan 48109-5718
Timothy Patrick Visclosky
Pediatrician
1500 E. Medical Center Drive D3230 Mpb, Spc 5718
Ann Arbor
, Michigan 48109-5718
(734) 763-4208
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Timothy Patrick Visclosky
- 1500 E. Medical Center Drive D3230 Mpb, Spc 5718
- Ann Arbor, MI
- Zip : 48109-5718
- Fax : (734) 763-4208
- Phone : (734) 763-9251
Second Address
- Timothy Patrick Visclosky
- 1500 E. Medical Center Drive D3230 Mpb, Spc 5718
- Ann Arbor, MI
- Zip : 48109-5718
- Fax : (734) 763-4208
- Phone : (734) 763-9251
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 4301109726 | MI |
National Provider Identifier
| NPI | 1003266503 |
|---|---|
| Provider Name | Timothy Patrick Visclosky |
| First Address | Ann Arbor, MI 48109-5718 |
| Second Address | Ann Arbor, MI 48109-5718 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/06/2016 |
| Last Update Date | 15/06/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.