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Individual

DR. TIMOTHY G MCNALLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3364 S CENTER RD, BURTON, MI 48519-1458
(810) 743-3937
(810) 743-9210
Mailing address
3364 S CENTER RD, BURTON, MI 48519-1458
(810) 743-3937
(810) 743-9210

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
5315110458
MI
207W00000X
Ophthalmology Physician
Primary
TMO12077
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3391829
MI
01
5315110458
STATE LICENSE
MI
01
TM012077
STATE LICENSE
MI
Enumeration date
01/30/2006
Last updated
11/04/2025
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