Individual
DR. TIMOTHY M BURANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO, FACOS, FACS
Contact information
Practice address
5400 FORT ST, SUITE #150, TRENTON, MI 48183-4632
(734) 671-3678
(734) 671-3679
Mailing address
27118 WALLOON WAY, BROWNSTOWN, MI 48134-8071
(734) 795-7032
(734) 795-7032
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101008170
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2953577
—
MI
01
—
M97860002
MEDICARE ID TYPE UNSPECIFIED
MI
Enumeration date
08/01/2006
Last updated
06/10/2019
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