Individual
TIMOTHY CLYDE COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
560 W MITCHELL ST, SUITE 185, PETOSKEY, MI 49770-2275
(231) 487-3390
(231) 487-3578
Mailing address
560 W MITCHELL ST, SUITE 185, PETOSKEY, MI 49770-2275
(231) 487-3390
(231) 487-3578
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
4301054609
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101352
CARE CHOICES
—
01
—
1107400651
BCBSM
MI
01
—
110G410290
BCN
—
05
—
352354310
—
MI
01
—
9808309002
CIGNA
—
01
—
G37559
HAP
—
Enumeration date
08/31/2006
Last updated
11/27/2023
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