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Individual
DR. TIMOTHY L BEECHNAU
Active
Individual
DR. TIMOTHY L BEECHNAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
008430
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
383249263
TAX ID
MA
01
—
383249263
PRIORITY HEALTH
MI
01
—
4098417
AETNA
MI
05
—
4480790
—
MI
01
—
5610010
BCN
MI
Enumeration date
06/16/2005
Last updated
03/08/2010
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