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Individual

DR. TIMOTHY MATTHEW ISERI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
927 CARMEL ST, CADILLAC, MI 49601-2547
(231) 876-3876
(231) 775-1115
Mailing address
927 S CARMEL ST, CADILLAC, MI 49601-2547

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301065506
MI
208600000X
Surgery Physician
M7982
ID
208600000X
Surgery Physician
MD22588
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020H310060
BCBS
05
288205
OR
05
4890725
MI
05
805805300
ID
Enumeration date
08/03/2005
Last updated
02/20/2026
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