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Individual

MR. TIMOTHY HALLIE GREENWOOD JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1022 WEISS STREET, SUITE 3, FRANKENMUTH, MI 48734-1952
(989) 652-3244
(989) 652-6437
Mailing address
1022 WEISS STREET, SUITE 3, FRANKENMUTH, MI 48734-1952
(989) 652-3244
(989) 652-6437

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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