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Individual
MR. TIMOTHY HALLIE GREENWOOD JR.
Active
Individual
MR. TIMOTHY HALLIE GREENWOOD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009547
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01019982
HEALTHPLUS
MI
01
—
200000021511
PHYSICIANS HEALTH PLAN
MI
01
—
261557851
COFINITY-PPOM
MI
01
—
9712364
AETNA
MI
Enumeration date
03/20/2009
Last updated
07/24/2014
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