Individual
DR. MICHAEL JOHN TIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 GRAND ST, NEW BRITAIN, CT 06052-2016
(860) 224-5771
Mailing address
100 GRAND ST, NEW BRITAIN, CT 06052-2016
(860) 224-5771
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
050746
CT
207P00000X
Emergency Medicine Physician
4301094887
MI
Other
Enumeration date
06/30/2009
Last updated
01/12/2017
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