Individual
TIMOTHY P PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 S ADAMS RD, SUITE 201, BIRMINGHAM, MI 48009-7005
(248) 644-8060
(248) 644-5081
Mailing address
800 S ADAMS RD, SUITE 201, BIRMINGHAM, MI 48009-7005
(248) 644-8060
(248) 644-5081
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
TP063398
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F37296
BCBSM
MI
01
—
0F37296005
RAILROAD MEDICARE
—
01
—
180F372960
BLUE CARE NETWORK
—
01
—
381867275
PPOM
—
05
—
4179882
—
MI
01
—
C6939
MCARE
—
01
—
G76707
HAP
—
Enumeration date
09/07/2005
Last updated
10/27/2020
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