Individual
DR. TIMOTHY P SESI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
44555 WOODWARD AVE, SUITE 302, PONTIAC, MI 48341-5031
(248) 858-3949
(248) 858-3929
Mailing address
44555 WOODWARD AVE, SUITE 302, PONTIAC, MI 48341-5031
(248) 858-3949
(248) 858-3929
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4301055009
MI
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
4301055009
MI
225400000X
Rehabilitation Practitioner
4301055009
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2951250 TYPE 10
—
MI
Enumeration date
06/07/2006
Last updated
01/26/2015
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