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Individual

DR. TIMOTHY WILLIAM BODNAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
24 FRANK LLOYD WRIGHT DR, ANN ARBOR, MI 48105-9484
(734) 647-5871
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301092124
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4301092124
MI

Other

Enumeration date
07/03/2008
Last updated
11/04/2022
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