Individual
TIMOTHY J. BODNAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 19401 HUBBARD DRIVE, DEARBORN, MI 48126
(313) 982-8330
(313) 982-8294
Mailing address
HENRY FORD HEALTH SYSTEM, 19401 HUBBARD DRIVE, DEARBORN, MI 48126
(313) 982-8330
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301040365
MI
2083X0100X
Occupational Medicine Physician
4301040365
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TB040365
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
12/08/2006
Last updated
09/11/2025
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