Individual
BRIAN D. TITESWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
834 S LAPEER RD STE 100, OXFORD, MI 48371-5039
(248) 384-8320
(248) 384-8321
Mailing address
5701 BOW POINTE DR STE 100, CLARKSTON, MI 48346-3199
(248) 625-2621
(248) 625-2622
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301076070
MI
208000000X
Pediatrics Physician
4301076070
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700H262220
BLUE CROSS-BLUE CROSS
—
01
—
BT076070
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
12/01/2006
Last updated
04/24/2023
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