Organization
TIMBERLINE PHYSICIANS, P.C.
Active
Other names
Timberline Emergency Physicians, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY J NIELSEN M.D. (PRESIDENT)
(989) 793-7220
Entity
Organization
Contact information
Practice address
800 S. WASHINGTON AVE., SAGINAW, MI 48601
(989) 907-8200
Mailing address
4677 TOWNE CENTRE RD, SUITE 302, SAGINAW, MI 48604-2846
(989) 793-7220
(989) 793-7482
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0G36084
MEDICARE ID
MI
01
—
0N85370
MEDICARE GROUP IDENTIFIER
—
Enumeration date
10/04/2006
Last updated
02/10/2015
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