Individual
DR. TIM E ECKSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2919 WILDER RD, SUITE 130, BAY CITY, MI 48706-9299
(989) 671-5720
(989) 671-5728
Mailing address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 671-5720
(989) 671-5728
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5101011920
MI
2083X0100X
Occupational Medicine Physician
Primary
5101011920
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080D410020
BLUE CROSS BLUE SHIELD
MI
01
—
0854102774
BLUE CROSS BLUE SHIELD
MI
01
—
1011090
MCLAREN HEALTH PLAN
MI
05
—
4589675
—
MI
01
—
540Z90298
HEALTHPLUS
MI
01
—
5689041
AETNA
MI
Enumeration date
11/15/2005
Last updated
04/22/2014
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