Individual
DR. TIM E ECKSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
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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